Effect of Different Garlic Preparations on Testosterone, Thyroid Hormones, and Some Serum Trace Elements in Rats

Garlic is a house-available vegetable which is widely used for its spicy and medicinal benefits. Impact of different preparations on testosterone, thyroid hormones, and blood micro and trace elements were studied. Eight groups of male albino rats were selected including control group and other seven...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Biological trace element research 2022-03, Vol.200 (3), p.1274-1286
Hauptverfasser: Ezz El Arab, Aliaa, Abbas, Osama Ahmed, Abdelrahman, Mohamad Taha
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1286
container_issue 3
container_start_page 1274
container_title Biological trace element research
container_volume 200
creator Ezz El Arab, Aliaa
Abbas, Osama Ahmed
Abdelrahman, Mohamad Taha
description Garlic is a house-available vegetable which is widely used for its spicy and medicinal benefits. Impact of different preparations on testosterone, thyroid hormones, and blood micro and trace elements were studied. Eight groups of male albino rats were selected including control group and other seven groups administered different doses of different garlic preparations by oral gavages for 1 month. At the end of the experiment, blood samples were collected for determination of serum hormones by radioimmunoassay, serum micro and trace elements by inductively coupled plasma-optical emission spectrometry (ICP-OES), and testes tissues for histological examination. All treated groups with different garlic preparations revealed a highly significant decrease of testosterone level in rats as compared to control which confirmed with histological changes. Increase of thyroid hormones in some groups was seen. Hypokalemia and hypernatremia effect was recorded due to garlic treatments. Calcium, magnesium, selenium, zinc, manganese, iron, cadmium, lead, silicon, molybdenum, germanium, barium, boron, niobium, and aluminum levels showed alterations in different preparations groups. On the other hand, insignificant changes of strontium, chromium, cesium, and the nickel serum levels were noted. Interestingly, although all garlic preparations have negative effects on serum testosterone level and testicular tissues, some garlic preparations have different effects on blood elements. Consequently, it infers that the usage of different garlic preparations must abide benefit/risk assessment to avoid unexpected health issues.
doi_str_mv 10.1007/s12011-021-02756-5
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2534612280</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2619787565</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-9983db6824bbc373fc9a782a3c0186bbef5f3f05f7607ae287077aa947afdf8d3</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EotvCH-CALHHh0MDYjj9yRO3SIlUC0eVsOc4YUiX2YieH_nu8bAsSBw6WLfuZd0Z-CHnF4B0D0O8L48BYA_ywtFSNfEI2TMquAc3hKdkAU6JpO9OekNNS7gCY5p14Tk5ECxJaqTZkvw0B_UJToJdjPWaMC71yeRo9_ZJx77JbxhQLTZHusCypLJhTxHO6-3Gf0zjQ65TnelHOqYsDvU0z0lvM60x32Xmk2wnnmlnoGOlXt5QX5FlwU8GXD_sZ-fZxu7u4bm4-X326-HDTeMHV0nSdEUOvDG_73gstgu-cNtwJD8yovscggwggg1agHXKjQWvnula7MAQziDPy9pi7z-nnWie381g8TpOLmNZiuRStYpwbqOibf9C7tOZYp7NcsU6b-reyUvxI-ZxKyRjsPo-zy_eWgT34sEcftvqwv33YQ9Hrh-i1n3H4U_IooALiCJT6FL9j_tv7P7G_AEC1lWQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2619787565</pqid></control><display><type>article</type><title>Effect of Different Garlic Preparations on Testosterone, Thyroid Hormones, and Some Serum Trace Elements in Rats</title><source>MEDLINE</source><source>SpringerLink</source><creator>Ezz El Arab, Aliaa ; Abbas, Osama Ahmed ; Abdelrahman, Mohamad Taha</creator><creatorcontrib>Ezz El Arab, Aliaa ; Abbas, Osama Ahmed ; Abdelrahman, Mohamad Taha</creatorcontrib><description>Garlic is a house-available vegetable which is widely used for its spicy and medicinal benefits. Impact of different preparations on testosterone, thyroid hormones, and blood micro and trace elements were studied. Eight groups of male albino rats were selected including control group and other seven groups administered different doses of different garlic preparations by oral gavages for 1 month. At the end of the experiment, blood samples were collected for determination of serum hormones by radioimmunoassay, serum micro and trace elements by inductively coupled plasma-optical emission spectrometry (ICP-OES), and testes tissues for histological examination. All treated groups with different garlic preparations revealed a highly significant decrease of testosterone level in rats as compared to control which confirmed with histological changes. Increase of thyroid hormones in some groups was seen. Hypokalemia and hypernatremia effect was recorded due to garlic treatments. Calcium, magnesium, selenium, zinc, manganese, iron, cadmium, lead, silicon, molybdenum, germanium, barium, boron, niobium, and aluminum levels showed alterations in different preparations groups. On the other hand, insignificant changes of strontium, chromium, cesium, and the nickel serum levels were noted. Interestingly, although all garlic preparations have negative effects on serum testosterone level and testicular tissues, some garlic preparations have different effects on blood elements. Consequently, it infers that the usage of different garlic preparations must abide benefit/risk assessment to avoid unexpected health issues.</description><identifier>ISSN: 0163-4984</identifier><identifier>EISSN: 1559-0720</identifier><identifier>DOI: 10.1007/s12011-021-02756-5</identifier><identifier>PMID: 34050456</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Albinism ; Aluminium ; Aluminum ; Animals ; Barium ; Biochemistry ; Biomedical and Life Sciences ; Biotechnology ; Blood ; Boron ; Cadmium ; Caesium ; Calcium ; Cesium ; Chromium ; Copper ; Emission analysis ; Garlic ; Germanium ; Hormones ; Hypernatremia ; Hypokalemia ; Inductively coupled plasma ; Life Sciences ; Magnesium ; Male ; Manganese ; Molybdenum ; Nickel ; Niobium ; Nutrition ; Oncology ; Optical emission spectroscopy ; Radioimmunoassay ; Rats ; Risk assessment ; Selenium ; Serum ; Serum levels ; Spectrometry ; Strontium ; Testosterone ; Thyroid ; Thyroid gland ; Thyroid Hormones ; Tissue ; Trace Elements ; Zinc</subject><ispartof>Biological trace element research, 2022-03, Vol.200 (3), p.1274-1286</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-9983db6824bbc373fc9a782a3c0186bbef5f3f05f7607ae287077aa947afdf8d3</cites><orcidid>0000-0003-0723-8698</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12011-021-02756-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12011-021-02756-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34050456$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ezz El Arab, Aliaa</creatorcontrib><creatorcontrib>Abbas, Osama Ahmed</creatorcontrib><creatorcontrib>Abdelrahman, Mohamad Taha</creatorcontrib><title>Effect of Different Garlic Preparations on Testosterone, Thyroid Hormones, and Some Serum Trace Elements in Rats</title><title>Biological trace element research</title><addtitle>Biol Trace Elem Res</addtitle><addtitle>Biol Trace Elem Res</addtitle><description>Garlic is a house-available vegetable which is widely used for its spicy and medicinal benefits. Impact of different preparations on testosterone, thyroid hormones, and blood micro and trace elements were studied. Eight groups of male albino rats were selected including control group and other seven groups administered different doses of different garlic preparations by oral gavages for 1 month. At the end of the experiment, blood samples were collected for determination of serum hormones by radioimmunoassay, serum micro and trace elements by inductively coupled plasma-optical emission spectrometry (ICP-OES), and testes tissues for histological examination. All treated groups with different garlic preparations revealed a highly significant decrease of testosterone level in rats as compared to control which confirmed with histological changes. Increase of thyroid hormones in some groups was seen. Hypokalemia and hypernatremia effect was recorded due to garlic treatments. Calcium, magnesium, selenium, zinc, manganese, iron, cadmium, lead, silicon, molybdenum, germanium, barium, boron, niobium, and aluminum levels showed alterations in different preparations groups. On the other hand, insignificant changes of strontium, chromium, cesium, and the nickel serum levels were noted. Interestingly, although all garlic preparations have negative effects on serum testosterone level and testicular tissues, some garlic preparations have different effects on blood elements. Consequently, it infers that the usage of different garlic preparations must abide benefit/risk assessment to avoid unexpected health issues.</description><subject>Albinism</subject><subject>Aluminium</subject><subject>Aluminum</subject><subject>Animals</subject><subject>Barium</subject><subject>Biochemistry</subject><subject>Biomedical and Life Sciences</subject><subject>Biotechnology</subject><subject>Blood</subject><subject>Boron</subject><subject>Cadmium</subject><subject>Caesium</subject><subject>Calcium</subject><subject>Cesium</subject><subject>Chromium</subject><subject>Copper</subject><subject>Emission analysis</subject><subject>Garlic</subject><subject>Germanium</subject><subject>Hormones</subject><subject>Hypernatremia</subject><subject>Hypokalemia</subject><subject>Inductively coupled plasma</subject><subject>Life Sciences</subject><subject>Magnesium</subject><subject>Male</subject><subject>Manganese</subject><subject>Molybdenum</subject><subject>Nickel</subject><subject>Niobium</subject><subject>Nutrition</subject><subject>Oncology</subject><subject>Optical emission spectroscopy</subject><subject>Radioimmunoassay</subject><subject>Rats</subject><subject>Risk assessment</subject><subject>Selenium</subject><subject>Serum</subject><subject>Serum levels</subject><subject>Spectrometry</subject><subject>Strontium</subject><subject>Testosterone</subject><subject>Thyroid</subject><subject>Thyroid gland</subject><subject>Thyroid Hormones</subject><subject>Tissue</subject><subject>Trace Elements</subject><subject>Zinc</subject><issn>0163-4984</issn><issn>1559-0720</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU1v1DAQhi0EotvCH-CALHHh0MDYjj9yRO3SIlUC0eVsOc4YUiX2YieH_nu8bAsSBw6WLfuZd0Z-CHnF4B0D0O8L48BYA_ywtFSNfEI2TMquAc3hKdkAU6JpO9OekNNS7gCY5p14Tk5ECxJaqTZkvw0B_UJToJdjPWaMC71yeRo9_ZJx77JbxhQLTZHusCypLJhTxHO6-3Gf0zjQ65TnelHOqYsDvU0z0lvM60x32Xmk2wnnmlnoGOlXt5QX5FlwU8GXD_sZ-fZxu7u4bm4-X326-HDTeMHV0nSdEUOvDG_73gstgu-cNtwJD8yovscggwggg1agHXKjQWvnula7MAQziDPy9pi7z-nnWie381g8TpOLmNZiuRStYpwbqOibf9C7tOZYp7NcsU6b-reyUvxI-ZxKyRjsPo-zy_eWgT34sEcftvqwv33YQ9Hrh-i1n3H4U_IooALiCJT6FL9j_tv7P7G_AEC1lWQ</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Ezz El Arab, Aliaa</creator><creator>Abbas, Osama Ahmed</creator><creator>Abdelrahman, Mohamad Taha</creator><general>Springer US</general><general>Springer Nature B.V</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>3V.</scope><scope>7QH</scope><scope>7QP</scope><scope>7TN</scope><scope>7U7</scope><scope>7UA</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BKSAR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>F1W</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H97</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L.G</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PCBAR</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0723-8698</orcidid></search><sort><creationdate>20220301</creationdate><title>Effect of Different Garlic Preparations on Testosterone, Thyroid Hormones, and Some Serum Trace Elements in Rats</title><author>Ezz El Arab, Aliaa ; Abbas, Osama Ahmed ; Abdelrahman, Mohamad Taha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-9983db6824bbc373fc9a782a3c0186bbef5f3f05f7607ae287077aa947afdf8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Albinism</topic><topic>Aluminium</topic><topic>Aluminum</topic><topic>Animals</topic><topic>Barium</topic><topic>Biochemistry</topic><topic>Biomedical and Life Sciences</topic><topic>Biotechnology</topic><topic>Blood</topic><topic>Boron</topic><topic>Cadmium</topic><topic>Caesium</topic><topic>Calcium</topic><topic>Cesium</topic><topic>Chromium</topic><topic>Copper</topic><topic>Emission analysis</topic><topic>Garlic</topic><topic>Germanium</topic><topic>Hormones</topic><topic>Hypernatremia</topic><topic>Hypokalemia</topic><topic>Inductively coupled plasma</topic><topic>Life Sciences</topic><topic>Magnesium</topic><topic>Male</topic><topic>Manganese</topic><topic>Molybdenum</topic><topic>Nickel</topic><topic>Niobium</topic><topic>Nutrition</topic><topic>Oncology</topic><topic>Optical emission spectroscopy</topic><topic>Radioimmunoassay</topic><topic>Rats</topic><topic>Risk assessment</topic><topic>Selenium</topic><topic>Serum</topic><topic>Serum levels</topic><topic>Spectrometry</topic><topic>Strontium</topic><topic>Testosterone</topic><topic>Thyroid</topic><topic>Thyroid gland</topic><topic>Thyroid Hormones</topic><topic>Tissue</topic><topic>Trace Elements</topic><topic>Zinc</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ezz El Arab, Aliaa</creatorcontrib><creatorcontrib>Abbas, Osama Ahmed</creatorcontrib><creatorcontrib>Abdelrahman, Mohamad Taha</creatorcontrib><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>Aqualine</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Oceanic Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Water Resources Abstracts</collection><collection>ProQuest Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech 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>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>Earth, Atmospheric &amp; Aquatic Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) 3: Aquatic Pollution &amp; Environmental Quality</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) Professional</collection><collection>Biological Sciences</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Science Journals</collection><collection>Biological Science Database</collection><collection>Earth, Atmospheric &amp; Aquatic Science 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 Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Biological trace element research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ezz El Arab, Aliaa</au><au>Abbas, Osama Ahmed</au><au>Abdelrahman, Mohamad Taha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Different Garlic Preparations on Testosterone, Thyroid Hormones, and Some Serum Trace Elements in Rats</atitle><jtitle>Biological trace element research</jtitle><stitle>Biol Trace Elem Res</stitle><addtitle>Biol Trace Elem Res</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>200</volume><issue>3</issue><spage>1274</spage><epage>1286</epage><pages>1274-1286</pages><issn>0163-4984</issn><eissn>1559-0720</eissn><abstract>Garlic is a house-available vegetable which is widely used for its spicy and medicinal benefits. Impact of different preparations on testosterone, thyroid hormones, and blood micro and trace elements were studied. Eight groups of male albino rats were selected including control group and other seven groups administered different doses of different garlic preparations by oral gavages for 1 month. At the end of the experiment, blood samples were collected for determination of serum hormones by radioimmunoassay, serum micro and trace elements by inductively coupled plasma-optical emission spectrometry (ICP-OES), and testes tissues for histological examination. All treated groups with different garlic preparations revealed a highly significant decrease of testosterone level in rats as compared to control which confirmed with histological changes. Increase of thyroid hormones in some groups was seen. Hypokalemia and hypernatremia effect was recorded due to garlic treatments. Calcium, magnesium, selenium, zinc, manganese, iron, cadmium, lead, silicon, molybdenum, germanium, barium, boron, niobium, and aluminum levels showed alterations in different preparations groups. On the other hand, insignificant changes of strontium, chromium, cesium, and the nickel serum levels were noted. Interestingly, although all garlic preparations have negative effects on serum testosterone level and testicular tissues, some garlic preparations have different effects on blood elements. Consequently, it infers that the usage of different garlic preparations must abide benefit/risk assessment to avoid unexpected health issues.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34050456</pmid><doi>10.1007/s12011-021-02756-5</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-0723-8698</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0163-4984
ispartof Biological trace element research, 2022-03, Vol.200 (3), p.1274-1286
issn 0163-4984
1559-0720
language eng
recordid cdi_proquest_miscellaneous_2534612280
source MEDLINE; SpringerLink
subjects Albinism
Aluminium
Aluminum
Animals
Barium
Biochemistry
Biomedical and Life Sciences
Biotechnology
Blood
Boron
Cadmium
Caesium
Calcium
Cesium
Chromium
Copper
Emission analysis
Garlic
Germanium
Hormones
Hypernatremia
Hypokalemia
Inductively coupled plasma
Life Sciences
Magnesium
Male
Manganese
Molybdenum
Nickel
Niobium
Nutrition
Oncology
Optical emission spectroscopy
Radioimmunoassay
Rats
Risk assessment
Selenium
Serum
Serum levels
Spectrometry
Strontium
Testosterone
Thyroid
Thyroid gland
Thyroid Hormones
Tissue
Trace Elements
Zinc
title Effect of Different Garlic Preparations on Testosterone, Thyroid Hormones, and Some Serum Trace Elements in Rats
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T15%3A58%3A07IST&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=Effect%20of%20Different%20Garlic%20Preparations%20on%20Testosterone,%20Thyroid%20Hormones,%20and%20Some%20Serum%20Trace%20Elements%20in%20Rats&rft.jtitle=Biological%20trace%20element%20research&rft.au=Ezz%20El%20Arab,%20Aliaa&rft.date=2022-03-01&rft.volume=200&rft.issue=3&rft.spage=1274&rft.epage=1286&rft.pages=1274-1286&rft.issn=0163-4984&rft.eissn=1559-0720&rft_id=info:doi/10.1007/s12011-021-02756-5&rft_dat=%3Cproquest_cross%3E2619787565%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=2619787565&rft_id=info:pmid/34050456&rfr_iscdi=true