Intermittent Access to 20% Ethanol Induces High Ethanol Consumption in Long-Evans and Wistar Rats

Background:  There has been some difficulty getting standard laboratory rats to voluntarily consume large amounts of ethanol without the use of initiation procedures. It has previously been shown that standard laboratory rats will voluntarily consume high levels of ethanol if given intermittent‐acce...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Alcoholism, clinical and experimental research clinical and experimental research, 2008-10, Vol.32 (10), p.1816-1823
Hauptverfasser: Simms, Jeffrey A., Steensland, Pia, Medina, Brian, Abernathy, Kenneth E., Chandler, L. Judson, Wise, Roy, Bartlett, Selena E.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1823
container_issue 10
container_start_page 1816
container_title Alcoholism, clinical and experimental research
container_volume 32
creator Simms, Jeffrey A.
Steensland, Pia
Medina, Brian
Abernathy, Kenneth E.
Chandler, L. Judson
Wise, Roy
Bartlett, Selena E.
description Background:  There has been some difficulty getting standard laboratory rats to voluntarily consume large amounts of ethanol without the use of initiation procedures. It has previously been shown that standard laboratory rats will voluntarily consume high levels of ethanol if given intermittent‐access to 20% ethanol in a 2‐bottle‐choice setting [Wise, Psychopharmacologia 29 (1973), 203]. In this study, we have further characterized this drinking model. Methods:  Ethanol‐naïve Long–Evans rats were given intermittent‐access to 20% ethanol (three 24‐hour sessions per week). No sucrose fading was needed and water was always available ad libitum. Ethanol consumption, preference, and long‐term drinking behaviors were investigated. Furthermore, to pharmacologically validate the intermittent‐access 20% ethanol drinking paradigm, the efficacy of acamprosate and naltrexone in decreasing ethanol consumption were compared with those of groups given continuous‐access to 10 or 20% ethanol, respectively. Additionally, ethanol consumption was investigated in Wistar and out‐bred alcohol preferring (P) rats following intermittent‐access to 20% ethanol. Results:  The intermittent‐access 20% ethanol 2‐bottle‐choice drinking paradigm led standard laboratory rats to escalate their ethanol intake over the first 5 to 6 drinking sessions, reaching stable baseline consumption of high amounts of ethanol (Long–Evans: 5.1 ± 0.6; Wistar: 5.8 ± 0.8 g/kg/24 h, respectively). Furthermore, the cycles of excessive drinking and abstinence led to an increase in ethanol preference and increased efficacy of both acamprosate and naltrexone in Long–Evans rats. P‐rats initiate drinking at a higher level than both Long–Evans and Wistar rats using the intermittent‐access 20% ethanol paradigm and showed a trend toward a further escalation in ethanol intake over time (mean ethanol intake: 6.3 ± 0.8 g/kg/24 h). Conclusion:  Standard laboratory rats will voluntarily consume ethanol using the intermittent‐access 20% ethanol drinking paradigm without the use of any initiation procedures. This model promises to be a valuable tool in the alcohol research field.
doi_str_mv 10.1111/j.1530-0277.2008.00753.x
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3151464</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69628267</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5403-e092a648a7e0d1d16e947d15b1dd5d1029d2029e7170c9b84849bfdbd73949013</originalsourceid><addsrcrecordid>eNqNkU2P0zAQhi0EYsvCX0C-LLeEceLEzgGkbtXdLSogKtAeLSd2W5fEKbazdP89Lq0C3PDBHzPPO57RixAmkJK43u5SUuSQQMZYmgHwFIAVeXp4giZj4imaAKFFUsb8BXrh_Q4AKC_L5-iC8JIRTmCC5MIG7ToTgrYBT5tGe49DjzO4wvOwlbZv8cKqIcbxndlsx-Cst37o9sH0FhuLl73dJPMHaT2WVuF744N0eCWDf4merWXr9avzeYm-3cy_zu6S5efbxWy6TJqCQp5oqDJZUi6ZBkUUKXVFmSJFTZQqFIGsUlncNCMMmqrmlNOqXqtasbyiFZD8Er0_1d0PdadVE-dxshV7ZzrpHkUvjfg3Y81WbPoHkZOC0JLGAm_OBVz_Y9A-iM74RrettLofvCirMuNZySLIT2Djeu-dXo-fEBBHf8ROHG0QRxvE0R_x2x9xiNLXfzf5R3g2JAJXZ0D6RrZrJ21j_MhlJGdFlfHIvTtxP02rH_-7ATGdzVfxFvXJSR-N0odRL913ESdkhbj_dCs-ws2HL9fxscp_AaFiunQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69628267</pqid></control><display><type>article</type><title>Intermittent Access to 20% Ethanol Induces High Ethanol Consumption in Long-Evans and Wistar Rats</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><source>Wiley Online Library All Journals</source><creator>Simms, Jeffrey A. ; Steensland, Pia ; Medina, Brian ; Abernathy, Kenneth E. ; Chandler, L. Judson ; Wise, Roy ; Bartlett, Selena E.</creator><creatorcontrib>Simms, Jeffrey A. ; Steensland, Pia ; Medina, Brian ; Abernathy, Kenneth E. ; Chandler, L. Judson ; Wise, Roy ; Bartlett, Selena E.</creatorcontrib><description>Background:  There has been some difficulty getting standard laboratory rats to voluntarily consume large amounts of ethanol without the use of initiation procedures. It has previously been shown that standard laboratory rats will voluntarily consume high levels of ethanol if given intermittent‐access to 20% ethanol in a 2‐bottle‐choice setting [Wise, Psychopharmacologia 29 (1973), 203]. In this study, we have further characterized this drinking model. Methods:  Ethanol‐naïve Long–Evans rats were given intermittent‐access to 20% ethanol (three 24‐hour sessions per week). No sucrose fading was needed and water was always available ad libitum. Ethanol consumption, preference, and long‐term drinking behaviors were investigated. Furthermore, to pharmacologically validate the intermittent‐access 20% ethanol drinking paradigm, the efficacy of acamprosate and naltrexone in decreasing ethanol consumption were compared with those of groups given continuous‐access to 10 or 20% ethanol, respectively. Additionally, ethanol consumption was investigated in Wistar and out‐bred alcohol preferring (P) rats following intermittent‐access to 20% ethanol. Results:  The intermittent‐access 20% ethanol 2‐bottle‐choice drinking paradigm led standard laboratory rats to escalate their ethanol intake over the first 5 to 6 drinking sessions, reaching stable baseline consumption of high amounts of ethanol (Long–Evans: 5.1 ± 0.6; Wistar: 5.8 ± 0.8 g/kg/24 h, respectively). Furthermore, the cycles of excessive drinking and abstinence led to an increase in ethanol preference and increased efficacy of both acamprosate and naltrexone in Long–Evans rats. P‐rats initiate drinking at a higher level than both Long–Evans and Wistar rats using the intermittent‐access 20% ethanol paradigm and showed a trend toward a further escalation in ethanol intake over time (mean ethanol intake: 6.3 ± 0.8 g/kg/24 h). Conclusion:  Standard laboratory rats will voluntarily consume ethanol using the intermittent‐access 20% ethanol drinking paradigm without the use of any initiation procedures. This model promises to be a valuable tool in the alcohol research field.</description><identifier>ISSN: 0145-6008</identifier><identifier>ISSN: 1530-0277</identifier><identifier>EISSN: 1530-0277</identifier><identifier>DOI: 10.1111/j.1530-0277.2008.00753.x</identifier><identifier>PMID: 18671810</identifier><identifier>CODEN: ACRSDM</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Acamprosate ; Addiction ; Alcohol ; Alcohol Deterrents - therapeutic use ; Alcohol Drinking - drug therapy ; Alcoholism and acute alcohol poisoning ; Animal Models ; Animals ; Biological and medical sciences ; Drug addictions ; Ethanol - administration &amp; dosage ; Ethanol - blood ; Male ; Medical sciences ; Models, Animal ; Naltrexone ; Naltrexone - therapeutic use ; Narcotic Antagonists - therapeutic use ; Rats ; Rats, Long-Evans ; Rats, Wistar ; Taurine - analogs &amp; derivatives ; Taurine - therapeutic use ; Time Factors ; Toxicology</subject><ispartof>Alcoholism, clinical and experimental research, 2008-10, Vol.32 (10), p.1816-1823</ispartof><rights>Copyright © 2008 by the Research Society on Alcoholism</rights><rights>2009 INIST-CNRS</rights><rights>Copyright © 2008 by the Research Society on Alcoholism. 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5403-e092a648a7e0d1d16e947d15b1dd5d1029d2029e7170c9b84849bfdbd73949013</citedby><cites>FETCH-LOGICAL-c5403-e092a648a7e0d1d16e947d15b1dd5d1029d2029e7170c9b84849bfdbd73949013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1530-0277.2008.00753.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1530-0277.2008.00753.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21375928$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18671810$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Simms, Jeffrey A.</creatorcontrib><creatorcontrib>Steensland, Pia</creatorcontrib><creatorcontrib>Medina, Brian</creatorcontrib><creatorcontrib>Abernathy, Kenneth E.</creatorcontrib><creatorcontrib>Chandler, L. Judson</creatorcontrib><creatorcontrib>Wise, Roy</creatorcontrib><creatorcontrib>Bartlett, Selena E.</creatorcontrib><title>Intermittent Access to 20% Ethanol Induces High Ethanol Consumption in Long-Evans and Wistar Rats</title><title>Alcoholism, clinical and experimental research</title><addtitle>Alcohol Clin Exp Res</addtitle><description>Background:  There has been some difficulty getting standard laboratory rats to voluntarily consume large amounts of ethanol without the use of initiation procedures. It has previously been shown that standard laboratory rats will voluntarily consume high levels of ethanol if given intermittent‐access to 20% ethanol in a 2‐bottle‐choice setting [Wise, Psychopharmacologia 29 (1973), 203]. In this study, we have further characterized this drinking model. Methods:  Ethanol‐naïve Long–Evans rats were given intermittent‐access to 20% ethanol (three 24‐hour sessions per week). No sucrose fading was needed and water was always available ad libitum. Ethanol consumption, preference, and long‐term drinking behaviors were investigated. Furthermore, to pharmacologically validate the intermittent‐access 20% ethanol drinking paradigm, the efficacy of acamprosate and naltrexone in decreasing ethanol consumption were compared with those of groups given continuous‐access to 10 or 20% ethanol, respectively. Additionally, ethanol consumption was investigated in Wistar and out‐bred alcohol preferring (P) rats following intermittent‐access to 20% ethanol. Results:  The intermittent‐access 20% ethanol 2‐bottle‐choice drinking paradigm led standard laboratory rats to escalate their ethanol intake over the first 5 to 6 drinking sessions, reaching stable baseline consumption of high amounts of ethanol (Long–Evans: 5.1 ± 0.6; Wistar: 5.8 ± 0.8 g/kg/24 h, respectively). Furthermore, the cycles of excessive drinking and abstinence led to an increase in ethanol preference and increased efficacy of both acamprosate and naltrexone in Long–Evans rats. P‐rats initiate drinking at a higher level than both Long–Evans and Wistar rats using the intermittent‐access 20% ethanol paradigm and showed a trend toward a further escalation in ethanol intake over time (mean ethanol intake: 6.3 ± 0.8 g/kg/24 h). Conclusion:  Standard laboratory rats will voluntarily consume ethanol using the intermittent‐access 20% ethanol drinking paradigm without the use of any initiation procedures. This model promises to be a valuable tool in the alcohol research field.</description><subject>Acamprosate</subject><subject>Addiction</subject><subject>Alcohol</subject><subject>Alcohol Deterrents - therapeutic use</subject><subject>Alcohol Drinking - drug therapy</subject><subject>Alcoholism and acute alcohol poisoning</subject><subject>Animal Models</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Drug addictions</subject><subject>Ethanol - administration &amp; dosage</subject><subject>Ethanol - blood</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Models, Animal</subject><subject>Naltrexone</subject><subject>Naltrexone - therapeutic use</subject><subject>Narcotic Antagonists - therapeutic use</subject><subject>Rats</subject><subject>Rats, Long-Evans</subject><subject>Rats, Wistar</subject><subject>Taurine - analogs &amp; derivatives</subject><subject>Taurine - therapeutic use</subject><subject>Time Factors</subject><subject>Toxicology</subject><issn>0145-6008</issn><issn>1530-0277</issn><issn>1530-0277</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU2P0zAQhi0EYsvCX0C-LLeEceLEzgGkbtXdLSogKtAeLSd2W5fEKbazdP89Lq0C3PDBHzPPO57RixAmkJK43u5SUuSQQMZYmgHwFIAVeXp4giZj4imaAKFFUsb8BXrh_Q4AKC_L5-iC8JIRTmCC5MIG7ToTgrYBT5tGe49DjzO4wvOwlbZv8cKqIcbxndlsx-Cst37o9sH0FhuLl73dJPMHaT2WVuF744N0eCWDf4merWXr9avzeYm-3cy_zu6S5efbxWy6TJqCQp5oqDJZUi6ZBkUUKXVFmSJFTZQqFIGsUlncNCMMmqrmlNOqXqtasbyiFZD8Er0_1d0PdadVE-dxshV7ZzrpHkUvjfg3Y81WbPoHkZOC0JLGAm_OBVz_Y9A-iM74RrettLofvCirMuNZySLIT2Djeu-dXo-fEBBHf8ROHG0QRxvE0R_x2x9xiNLXfzf5R3g2JAJXZ0D6RrZrJ21j_MhlJGdFlfHIvTtxP02rH_-7ATGdzVfxFvXJSR-N0odRL913ESdkhbj_dCs-ws2HL9fxscp_AaFiunQ</recordid><startdate>200810</startdate><enddate>200810</enddate><creator>Simms, Jeffrey A.</creator><creator>Steensland, Pia</creator><creator>Medina, Brian</creator><creator>Abernathy, Kenneth E.</creator><creator>Chandler, L. Judson</creator><creator>Wise, Roy</creator><creator>Bartlett, Selena E.</creator><general>Blackwell Publishing Ltd</general><general>Wiley</general><scope>BSCLL</scope><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>7X8</scope><scope>5PM</scope></search><sort><creationdate>200810</creationdate><title>Intermittent Access to 20% Ethanol Induces High Ethanol Consumption in Long-Evans and Wistar Rats</title><author>Simms, Jeffrey A. ; Steensland, Pia ; Medina, Brian ; Abernathy, Kenneth E. ; Chandler, L. Judson ; Wise, Roy ; Bartlett, Selena E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5403-e092a648a7e0d1d16e947d15b1dd5d1029d2029e7170c9b84849bfdbd73949013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Acamprosate</topic><topic>Addiction</topic><topic>Alcohol</topic><topic>Alcohol Deterrents - therapeutic use</topic><topic>Alcohol Drinking - drug therapy</topic><topic>Alcoholism and acute alcohol poisoning</topic><topic>Animal Models</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Drug addictions</topic><topic>Ethanol - administration &amp; dosage</topic><topic>Ethanol - blood</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Models, Animal</topic><topic>Naltrexone</topic><topic>Naltrexone - therapeutic use</topic><topic>Narcotic Antagonists - therapeutic use</topic><topic>Rats</topic><topic>Rats, Long-Evans</topic><topic>Rats, Wistar</topic><topic>Taurine - analogs &amp; derivatives</topic><topic>Taurine - therapeutic use</topic><topic>Time Factors</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Simms, Jeffrey A.</creatorcontrib><creatorcontrib>Steensland, Pia</creatorcontrib><creatorcontrib>Medina, Brian</creatorcontrib><creatorcontrib>Abernathy, Kenneth E.</creatorcontrib><creatorcontrib>Chandler, L. Judson</creatorcontrib><creatorcontrib>Wise, Roy</creatorcontrib><creatorcontrib>Bartlett, Selena E.</creatorcontrib><collection>Istex</collection><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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Alcoholism, clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Simms, Jeffrey A.</au><au>Steensland, Pia</au><au>Medina, Brian</au><au>Abernathy, Kenneth E.</au><au>Chandler, L. Judson</au><au>Wise, Roy</au><au>Bartlett, Selena E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intermittent Access to 20% Ethanol Induces High Ethanol Consumption in Long-Evans and Wistar Rats</atitle><jtitle>Alcoholism, clinical and experimental research</jtitle><addtitle>Alcohol Clin Exp Res</addtitle><date>2008-10</date><risdate>2008</risdate><volume>32</volume><issue>10</issue><spage>1816</spage><epage>1823</epage><pages>1816-1823</pages><issn>0145-6008</issn><issn>1530-0277</issn><eissn>1530-0277</eissn><coden>ACRSDM</coden><abstract>Background:  There has been some difficulty getting standard laboratory rats to voluntarily consume large amounts of ethanol without the use of initiation procedures. It has previously been shown that standard laboratory rats will voluntarily consume high levels of ethanol if given intermittent‐access to 20% ethanol in a 2‐bottle‐choice setting [Wise, Psychopharmacologia 29 (1973), 203]. In this study, we have further characterized this drinking model. Methods:  Ethanol‐naïve Long–Evans rats were given intermittent‐access to 20% ethanol (three 24‐hour sessions per week). No sucrose fading was needed and water was always available ad libitum. Ethanol consumption, preference, and long‐term drinking behaviors were investigated. Furthermore, to pharmacologically validate the intermittent‐access 20% ethanol drinking paradigm, the efficacy of acamprosate and naltrexone in decreasing ethanol consumption were compared with those of groups given continuous‐access to 10 or 20% ethanol, respectively. Additionally, ethanol consumption was investigated in Wistar and out‐bred alcohol preferring (P) rats following intermittent‐access to 20% ethanol. Results:  The intermittent‐access 20% ethanol 2‐bottle‐choice drinking paradigm led standard laboratory rats to escalate their ethanol intake over the first 5 to 6 drinking sessions, reaching stable baseline consumption of high amounts of ethanol (Long–Evans: 5.1 ± 0.6; Wistar: 5.8 ± 0.8 g/kg/24 h, respectively). Furthermore, the cycles of excessive drinking and abstinence led to an increase in ethanol preference and increased efficacy of both acamprosate and naltrexone in Long–Evans rats. P‐rats initiate drinking at a higher level than both Long–Evans and Wistar rats using the intermittent‐access 20% ethanol paradigm and showed a trend toward a further escalation in ethanol intake over time (mean ethanol intake: 6.3 ± 0.8 g/kg/24 h). Conclusion:  Standard laboratory rats will voluntarily consume ethanol using the intermittent‐access 20% ethanol drinking paradigm without the use of any initiation procedures. This model promises to be a valuable tool in the alcohol research field.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18671810</pmid><doi>10.1111/j.1530-0277.2008.00753.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0145-6008
ispartof Alcoholism, clinical and experimental research, 2008-10, Vol.32 (10), p.1816-1823
issn 0145-6008
1530-0277
1530-0277
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3151464
source MEDLINE; Journals@Ovid Complete; Wiley Online Library All Journals
subjects Acamprosate
Addiction
Alcohol
Alcohol Deterrents - therapeutic use
Alcohol Drinking - drug therapy
Alcoholism and acute alcohol poisoning
Animal Models
Animals
Biological and medical sciences
Drug addictions
Ethanol - administration & dosage
Ethanol - blood
Male
Medical sciences
Models, Animal
Naltrexone
Naltrexone - therapeutic use
Narcotic Antagonists - therapeutic use
Rats
Rats, Long-Evans
Rats, Wistar
Taurine - analogs & derivatives
Taurine - therapeutic use
Time Factors
Toxicology
title Intermittent Access to 20% Ethanol Induces High Ethanol Consumption in Long-Evans and Wistar Rats
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T19%3A51%3A58IST&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=Intermittent%20Access%20to%2020%25%20Ethanol%20Induces%20High%20Ethanol%20Consumption%20in%20Long-Evans%20and%20Wistar%20Rats&rft.jtitle=Alcoholism,%20clinical%20and%20experimental%20research&rft.au=Simms,%20Jeffrey%20A.&rft.date=2008-10&rft.volume=32&rft.issue=10&rft.spage=1816&rft.epage=1823&rft.pages=1816-1823&rft.issn=0145-6008&rft.eissn=1530-0277&rft.coden=ACRSDM&rft_id=info:doi/10.1111/j.1530-0277.2008.00753.x&rft_dat=%3Cproquest_pubme%3E69628267%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=69628267&rft_id=info:pmid/18671810&rfr_iscdi=true