Osteological profiling of femoral diaphysis and neck in aquatic, semiaquatic, and terrestrial carnivores and rodents: effects of body size and locomotor habits
The increased limb bone density documented previously for aquatic tetrapods has been proposed to be an adaptation to overcome buoyancy during swimming and diving. It can be achieved by increasing the amount of bone deposition or by reducing the amount of bone resorption, leading to cortical thickeni...
Gespeichert in:
Veröffentlicht in: | Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology Biochemical, systemic, and environmental physiology, 2024-08, Vol.194 (4), p.473-492 |
---|---|
Hauptverfasser: | , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 492 |
---|---|
container_issue | 4 |
container_start_page | 473 |
container_title | Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology |
container_volume | 194 |
creator | Nieminen, Petteri Finnilä, Mikko A. J. Hämäläinen, Wilhelmiina Lehtiniemi, Saara Jämsä, Timo Tuukkanen, Juha Kunnasranta, Mervi Henttonen, Heikki Mustonen, Anne-Mari |
description | The increased limb bone density documented previously for aquatic tetrapods has been proposed to be an adaptation to overcome buoyancy during swimming and diving. It can be achieved by increasing the amount of bone deposition or by reducing the amount of bone resorption, leading to cortical thickening, loss of medullary cavity, and compaction of trabecular bone. The present study examined the effects of locomotor habit, body size, and phylogeny on the densitometric, cross-sectional, and biomechanical traits of femoral diaphysis and neck in terrestrial, semiaquatic, and aquatic carnivores, and in terrestrial and semiaquatic rodents (12 species) by using peripheral quantitative computed tomography, three-point bending, and femoral neck loading tests. Groupwise differences were analyzed with the univariate generalized linear model and the multivariate linear discriminant analysis supplemented with hierarchical clustering. While none of the individual features could separate the lifestyles or species adequately, the combinations of multiple features produced very good or excellent classifications and clusterings. In the phocid seals, the aquatic niche allowed for lower femoral bone mineral densities than expected based on the body mass alone. The semiaquatic mammals mostly had high bone mineral densities compared to the terrestrial species, which could be considered an adaptation to overcome buoyancy during swimming and shallow diving. Generally, it seems that different osteological properties at the levels of mineral density and biomechanics could be compatible with the adaptation to aquatic, semiaquatic, or terrestrial niches. |
doi_str_mv | 10.1007/s00360-024-01551-7 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11316726</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3091216913</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-d87aa442c3eda0d1b228e42d5434070f31134ce73e89018561e44abe530ef893</originalsourceid><addsrcrecordid>eNp9kU1vEzEQhi0EoiHwBzggS1w4sOCxvfaGS4UqvqRKvfTAzfJ6ZxOXXTu1dyuFP8NfxUlK-DhwssbzzDvz6iXkObA3wJh-mxkTilWMy4pBXUOlH5AFSMErEOrrQ7JgoGUFtW7OyJOcbxhjEhr5mJyJRukGarUgP67yhHGIa-_sQLcp9n7wYU1jT3scYyqfnbfbzS77TG3oaED3jfpA7e1sJ-9e04yjPxV7YsKUME_Jl1lnU_B3sdSHVoodhim_o9j36Ka8X9PGbkez_44HYogujnGKiW5s66f8lDzq7ZDx2f27JNcfP1xffK4urz59uXh_WTnJ1VR1jbZWSu4EdpZ10HLeoORdLYVkmvUCQEiHWmCzYtDUClBK22ItGPbNSizJ-VF2O7cjdq5cWaybbfKjTTsTrTd_d4LfmHW8M0UXlOaqKLy6V0jxdi7-zeizw2GwAeOcjWBSr6RQ5aIlefkPehPnFIq9Qq2Ag1qBKBQ_Ui7FnBP2p2uAmX3-5pi_KfmbQ_5Gl6EXf_o4jfwKvADiCOTSCmtMv3f_R_Ynu2y-vw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3091216913</pqid></control><display><type>article</type><title>Osteological profiling of femoral diaphysis and neck in aquatic, semiaquatic, and terrestrial carnivores and rodents: effects of body size and locomotor habits</title><source>SpringerLink Journals</source><creator>Nieminen, Petteri ; Finnilä, Mikko A. J. ; Hämäläinen, Wilhelmiina ; Lehtiniemi, Saara ; Jämsä, Timo ; Tuukkanen, Juha ; Kunnasranta, Mervi ; Henttonen, Heikki ; Mustonen, Anne-Mari</creator><creatorcontrib>Nieminen, Petteri ; Finnilä, Mikko A. J. ; Hämäläinen, Wilhelmiina ; Lehtiniemi, Saara ; Jämsä, Timo ; Tuukkanen, Juha ; Kunnasranta, Mervi ; Henttonen, Heikki ; Mustonen, Anne-Mari</creatorcontrib><description>The increased limb bone density documented previously for aquatic tetrapods has been proposed to be an adaptation to overcome buoyancy during swimming and diving. It can be achieved by increasing the amount of bone deposition or by reducing the amount of bone resorption, leading to cortical thickening, loss of medullary cavity, and compaction of trabecular bone. The present study examined the effects of locomotor habit, body size, and phylogeny on the densitometric, cross-sectional, and biomechanical traits of femoral diaphysis and neck in terrestrial, semiaquatic, and aquatic carnivores, and in terrestrial and semiaquatic rodents (12 species) by using peripheral quantitative computed tomography, three-point bending, and femoral neck loading tests. Groupwise differences were analyzed with the univariate generalized linear model and the multivariate linear discriminant analysis supplemented with hierarchical clustering. While none of the individual features could separate the lifestyles or species adequately, the combinations of multiple features produced very good or excellent classifications and clusterings. In the phocid seals, the aquatic niche allowed for lower femoral bone mineral densities than expected based on the body mass alone. The semiaquatic mammals mostly had high bone mineral densities compared to the terrestrial species, which could be considered an adaptation to overcome buoyancy during swimming and shallow diving. Generally, it seems that different osteological properties at the levels of mineral density and biomechanics could be compatible with the adaptation to aquatic, semiaquatic, or terrestrial niches.</description><identifier>ISSN: 0174-1578</identifier><identifier>ISSN: 1432-136X</identifier><identifier>EISSN: 1432-136X</identifier><identifier>DOI: 10.1007/s00360-024-01551-7</identifier><identifier>PMID: 38678156</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adaptation ; Animal Physiology ; Biochemistry ; Biomechanical engineering ; Biomechanics ; Biomedical and Life Sciences ; Biomedicine ; Body mass ; Body size ; Bone biomechanics ; Bone density ; Bone mass ; Bone mineral density ; Bone resorption ; Buoyancy ; Cancellous bone ; Carnivores ; Cluster analysis ; Clustering ; Computed tomography ; Cortical bone ; Diaphysis ; Discriminant analysis ; Diving ; Femur ; Generalized linear models ; Human Physiology ; Life Sciences ; Mechanical loading ; Medullary bone ; Niches ; Original Paper ; Phylogeny ; Rodents ; Seals ; Seals (animals) ; Statistical models ; Swimming ; Terrestrial environments ; Zoology</subject><ispartof>Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology, 2024-08, Vol.194 (4), p.473-492</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-d87aa442c3eda0d1b228e42d5434070f31134ce73e89018561e44abe530ef893</cites><orcidid>0000-0003-2266-2518</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/s00360-024-01551-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00360-024-01551-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38678156$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nieminen, Petteri</creatorcontrib><creatorcontrib>Finnilä, Mikko A. J.</creatorcontrib><creatorcontrib>Hämäläinen, Wilhelmiina</creatorcontrib><creatorcontrib>Lehtiniemi, Saara</creatorcontrib><creatorcontrib>Jämsä, Timo</creatorcontrib><creatorcontrib>Tuukkanen, Juha</creatorcontrib><creatorcontrib>Kunnasranta, Mervi</creatorcontrib><creatorcontrib>Henttonen, Heikki</creatorcontrib><creatorcontrib>Mustonen, Anne-Mari</creatorcontrib><title>Osteological profiling of femoral diaphysis and neck in aquatic, semiaquatic, and terrestrial carnivores and rodents: effects of body size and locomotor habits</title><title>Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology</title><addtitle>J Comp Physiol B</addtitle><addtitle>J Comp Physiol B</addtitle><description>The increased limb bone density documented previously for aquatic tetrapods has been proposed to be an adaptation to overcome buoyancy during swimming and diving. It can be achieved by increasing the amount of bone deposition or by reducing the amount of bone resorption, leading to cortical thickening, loss of medullary cavity, and compaction of trabecular bone. The present study examined the effects of locomotor habit, body size, and phylogeny on the densitometric, cross-sectional, and biomechanical traits of femoral diaphysis and neck in terrestrial, semiaquatic, and aquatic carnivores, and in terrestrial and semiaquatic rodents (12 species) by using peripheral quantitative computed tomography, three-point bending, and femoral neck loading tests. Groupwise differences were analyzed with the univariate generalized linear model and the multivariate linear discriminant analysis supplemented with hierarchical clustering. While none of the individual features could separate the lifestyles or species adequately, the combinations of multiple features produced very good or excellent classifications and clusterings. In the phocid seals, the aquatic niche allowed for lower femoral bone mineral densities than expected based on the body mass alone. The semiaquatic mammals mostly had high bone mineral densities compared to the terrestrial species, which could be considered an adaptation to overcome buoyancy during swimming and shallow diving. Generally, it seems that different osteological properties at the levels of mineral density and biomechanics could be compatible with the adaptation to aquatic, semiaquatic, or terrestrial niches.</description><subject>Adaptation</subject><subject>Animal Physiology</subject><subject>Biochemistry</subject><subject>Biomechanical engineering</subject><subject>Biomechanics</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Body mass</subject><subject>Body size</subject><subject>Bone biomechanics</subject><subject>Bone density</subject><subject>Bone mass</subject><subject>Bone mineral density</subject><subject>Bone resorption</subject><subject>Buoyancy</subject><subject>Cancellous bone</subject><subject>Carnivores</subject><subject>Cluster analysis</subject><subject>Clustering</subject><subject>Computed tomography</subject><subject>Cortical bone</subject><subject>Diaphysis</subject><subject>Discriminant analysis</subject><subject>Diving</subject><subject>Femur</subject><subject>Generalized linear models</subject><subject>Human Physiology</subject><subject>Life Sciences</subject><subject>Mechanical loading</subject><subject>Medullary bone</subject><subject>Niches</subject><subject>Original Paper</subject><subject>Phylogeny</subject><subject>Rodents</subject><subject>Seals</subject><subject>Seals (animals)</subject><subject>Statistical models</subject><subject>Swimming</subject><subject>Terrestrial environments</subject><subject>Zoology</subject><issn>0174-1578</issn><issn>1432-136X</issn><issn>1432-136X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><recordid>eNp9kU1vEzEQhi0EoiHwBzggS1w4sOCxvfaGS4UqvqRKvfTAzfJ6ZxOXXTu1dyuFP8NfxUlK-DhwssbzzDvz6iXkObA3wJh-mxkTilWMy4pBXUOlH5AFSMErEOrrQ7JgoGUFtW7OyJOcbxhjEhr5mJyJRukGarUgP67yhHGIa-_sQLcp9n7wYU1jT3scYyqfnbfbzS77TG3oaED3jfpA7e1sJ-9e04yjPxV7YsKUME_Jl1lnU_B3sdSHVoodhim_o9j36Ka8X9PGbkez_44HYogujnGKiW5s66f8lDzq7ZDx2f27JNcfP1xffK4urz59uXh_WTnJ1VR1jbZWSu4EdpZ10HLeoORdLYVkmvUCQEiHWmCzYtDUClBK22ItGPbNSizJ-VF2O7cjdq5cWaybbfKjTTsTrTd_d4LfmHW8M0UXlOaqKLy6V0jxdi7-zeizw2GwAeOcjWBSr6RQ5aIlefkPehPnFIq9Qq2Ag1qBKBQ_Ui7FnBP2p2uAmX3-5pi_KfmbQ_5Gl6EXf_o4jfwKvADiCOTSCmtMv3f_R_Ynu2y-vw</recordid><startdate>20240801</startdate><enddate>20240801</enddate><creator>Nieminen, Petteri</creator><creator>Finnilä, Mikko A. J.</creator><creator>Hämäläinen, Wilhelmiina</creator><creator>Lehtiniemi, Saara</creator><creator>Jämsä, Timo</creator><creator>Tuukkanen, Juha</creator><creator>Kunnasranta, Mervi</creator><creator>Henttonen, Heikki</creator><creator>Mustonen, Anne-Mari</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7QR</scope><scope>7SS</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2266-2518</orcidid></search><sort><creationdate>20240801</creationdate><title>Osteological profiling of femoral diaphysis and neck in aquatic, semiaquatic, and terrestrial carnivores and rodents: effects of body size and locomotor habits</title><author>Nieminen, Petteri ; Finnilä, Mikko A. J. ; Hämäläinen, Wilhelmiina ; Lehtiniemi, Saara ; Jämsä, Timo ; Tuukkanen, Juha ; Kunnasranta, Mervi ; Henttonen, Heikki ; Mustonen, Anne-Mari</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-d87aa442c3eda0d1b228e42d5434070f31134ce73e89018561e44abe530ef893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adaptation</topic><topic>Animal Physiology</topic><topic>Biochemistry</topic><topic>Biomechanical engineering</topic><topic>Biomechanics</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Body mass</topic><topic>Body size</topic><topic>Bone biomechanics</topic><topic>Bone density</topic><topic>Bone mass</topic><topic>Bone mineral density</topic><topic>Bone resorption</topic><topic>Buoyancy</topic><topic>Cancellous bone</topic><topic>Carnivores</topic><topic>Cluster analysis</topic><topic>Clustering</topic><topic>Computed tomography</topic><topic>Cortical bone</topic><topic>Diaphysis</topic><topic>Discriminant analysis</topic><topic>Diving</topic><topic>Femur</topic><topic>Generalized linear models</topic><topic>Human Physiology</topic><topic>Life Sciences</topic><topic>Mechanical loading</topic><topic>Medullary bone</topic><topic>Niches</topic><topic>Original Paper</topic><topic>Phylogeny</topic><topic>Rodents</topic><topic>Seals</topic><topic>Seals (animals)</topic><topic>Statistical models</topic><topic>Swimming</topic><topic>Terrestrial environments</topic><topic>Zoology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nieminen, Petteri</creatorcontrib><creatorcontrib>Finnilä, Mikko A. J.</creatorcontrib><creatorcontrib>Hämäläinen, Wilhelmiina</creatorcontrib><creatorcontrib>Lehtiniemi, Saara</creatorcontrib><creatorcontrib>Jämsä, Timo</creatorcontrib><creatorcontrib>Tuukkanen, Juha</creatorcontrib><creatorcontrib>Kunnasranta, Mervi</creatorcontrib><creatorcontrib>Henttonen, Heikki</creatorcontrib><creatorcontrib>Mustonen, Anne-Mari</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Toxicology 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>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nieminen, Petteri</au><au>Finnilä, Mikko A. J.</au><au>Hämäläinen, Wilhelmiina</au><au>Lehtiniemi, Saara</au><au>Jämsä, Timo</au><au>Tuukkanen, Juha</au><au>Kunnasranta, Mervi</au><au>Henttonen, Heikki</au><au>Mustonen, Anne-Mari</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Osteological profiling of femoral diaphysis and neck in aquatic, semiaquatic, and terrestrial carnivores and rodents: effects of body size and locomotor habits</atitle><jtitle>Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology</jtitle><stitle>J Comp Physiol B</stitle><addtitle>J Comp Physiol B</addtitle><date>2024-08-01</date><risdate>2024</risdate><volume>194</volume><issue>4</issue><spage>473</spage><epage>492</epage><pages>473-492</pages><issn>0174-1578</issn><issn>1432-136X</issn><eissn>1432-136X</eissn><abstract>The increased limb bone density documented previously for aquatic tetrapods has been proposed to be an adaptation to overcome buoyancy during swimming and diving. It can be achieved by increasing the amount of bone deposition or by reducing the amount of bone resorption, leading to cortical thickening, loss of medullary cavity, and compaction of trabecular bone. The present study examined the effects of locomotor habit, body size, and phylogeny on the densitometric, cross-sectional, and biomechanical traits of femoral diaphysis and neck in terrestrial, semiaquatic, and aquatic carnivores, and in terrestrial and semiaquatic rodents (12 species) by using peripheral quantitative computed tomography, three-point bending, and femoral neck loading tests. Groupwise differences were analyzed with the univariate generalized linear model and the multivariate linear discriminant analysis supplemented with hierarchical clustering. While none of the individual features could separate the lifestyles or species adequately, the combinations of multiple features produced very good or excellent classifications and clusterings. In the phocid seals, the aquatic niche allowed for lower femoral bone mineral densities than expected based on the body mass alone. The semiaquatic mammals mostly had high bone mineral densities compared to the terrestrial species, which could be considered an adaptation to overcome buoyancy during swimming and shallow diving. Generally, it seems that different osteological properties at the levels of mineral density and biomechanics could be compatible with the adaptation to aquatic, semiaquatic, or terrestrial niches.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38678156</pmid><doi>10.1007/s00360-024-01551-7</doi><tpages>20</tpages><orcidid>https://orcid.org/0000-0003-2266-2518</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0174-1578 |
ispartof | Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology, 2024-08, Vol.194 (4), p.473-492 |
issn | 0174-1578 1432-136X 1432-136X |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11316726 |
source | SpringerLink Journals |
subjects | Adaptation Animal Physiology Biochemistry Biomechanical engineering Biomechanics Biomedical and Life Sciences Biomedicine Body mass Body size Bone biomechanics Bone density Bone mass Bone mineral density Bone resorption Buoyancy Cancellous bone Carnivores Cluster analysis Clustering Computed tomography Cortical bone Diaphysis Discriminant analysis Diving Femur Generalized linear models Human Physiology Life Sciences Mechanical loading Medullary bone Niches Original Paper Phylogeny Rodents Seals Seals (animals) Statistical models Swimming Terrestrial environments Zoology |
title | Osteological profiling of femoral diaphysis and neck in aquatic, semiaquatic, and terrestrial carnivores and rodents: effects of body size and locomotor habits |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-13T21%3A25%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Osteological%20profiling%20of%20femoral%20diaphysis%20and%20neck%20in%20aquatic,%20semiaquatic,%20and%20terrestrial%20carnivores%20and%20rodents:%20effects%20of%20body%20size%20and%20locomotor%20habits&rft.jtitle=Journal%20of%20comparative%20physiology.%20B,%20Biochemical,%20systemic,%20and%20environmental%20physiology&rft.au=Nieminen,%20Petteri&rft.date=2024-08-01&rft.volume=194&rft.issue=4&rft.spage=473&rft.epage=492&rft.pages=473-492&rft.issn=0174-1578&rft.eissn=1432-136X&rft_id=info:doi/10.1007/s00360-024-01551-7&rft_dat=%3Cproquest_pubme%3E3091216913%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3091216913&rft_id=info:pmid/38678156&rfr_iscdi=true |