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  1. Article ; Online: A classification approach to improve out of sample predictability of structure-based constitutive models for ascending thoracic aortic tissue.

    Tong, Tuan-Thinh / Nightingale, Miriam / Scott, Michael B / Sigaeva, Taisiya / Fedak, Paul W M / Barker, Alex J / Di Martino, Elena S

    International journal for numerical methods in biomedical engineering

    2023  Volume 39, Issue 6, Page(s) e3708

    Abstract: In this research, a pipeline was developed to assess the out-of-sample predictive capability of structure-based constitutive models of ascending aortic aneurysmal tissue. The hypothesis being tested is that a biomarker can help establish similarities ... ...

    Abstract In this research, a pipeline was developed to assess the out-of-sample predictive capability of structure-based constitutive models of ascending aortic aneurysmal tissue. The hypothesis being tested is that a biomarker can help establish similarities among tissues sharing the same level of a quantifiable property, thus enabling the development of biomarker-specific constitutive models. Biomarker-specific averaged material models were constructed from biaxial mechanical tests of specimens that shared similar biomarker properties such as level of blood-wall shear stress or microfiber (elastin or collagen) degradation in the extracellular matrix. Using a cross-validation strategy commonly used in classification algorithms, biomarker-specific averaged material models were assessed in contrast to individual tissue mechanics of out of sample specimens that fell under the same category but did not contribute to the averaged model's generation. The normalized root means square errors (NRMSE) calculated on out-of-sample data were compared with average models when no categorization was performed versus biomarker-specific models and among different level of a biomarker. Different biomarker levels exhibited statistically different NRMSE when compared among each other, indicating more common features shared by the specimens belonging to the lower error groups. However, no specific biomarkers reached a significant difference when compared to the average model created when No Categorization was performed, possibly on account of unbalanced number of specimens. The method developed could allow for the screening of different biomarkers or combinations/interactions in a systematic manner leading the way to larger datasets and to more individualized constitutive approaches.
    MeSH term(s) Humans ; Aorta, Thoracic ; Aorta ; Stress, Mechanical ; Collagen/metabolism ; Biomarkers ; Aortic Aneurysm, Thoracic ; Biomechanical Phenomena
    Chemical Substances Collagen (9007-34-5) ; Biomarkers
    Language English
    Publishing date 2023-04-20
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2540968-2
    ISSN 2040-7947 ; 2040-7939
    ISSN (online) 2040-7947
    ISSN 2040-7939
    DOI 10.1002/cnm.3708
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The prevalence of gastroesophageal reflux disease and laryngopharyngeal reflux in patients with dysphagia after radiotherapy for nasopharyngeal carcinoma.

    Ku, Peter K M / Vlantis, Alexander C / Hui, Thomas S C / Yeung, Zenon W C / Cho, Ryan H W / Wong, Marc H K / Lee, Alex K F / Yeung, David C M / Chan, Simon Y P / Chan, Becky Y T / Chang, Wai-Tsz / Mok, Florence / Wong, Kam-Hung / Wong, Jeffrey K T / Abdullah, Victor / van Hasselt, Andrew / Wu, Justin C Y / Tong, Michael C F

    Head & neck

    2024  

    Abstract: Background: The prevalence of gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux (LPR) in post-irradiated patients with nasopharyngeal carcinoma (NPC) is unknown.: Materials and methods: In a cross-sectional study, 31 NPC and 12 ... ...

    Abstract Background: The prevalence of gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux (LPR) in post-irradiated patients with nasopharyngeal carcinoma (NPC) is unknown.
    Materials and methods: In a cross-sectional study, 31 NPC and 12 control patients completed questionnaires for GERD/LPR before esophageal manometry and 24-h pH monitoring. The DeMeester score and reflux finding score (RFS) were used to define GERD and LPR, respectively. Risk factors were identified.
    Results: 51.6% of NPC and 8.3% of control patients, and 77.4% of NPC and 33% of control patients, were GERD-positive and LPR-positive, respectively. The GERD/LPR questionnaire failed to identify either condition in patients with NPC. No parameter differences in esophageal manometry or pneumonia incidence were noted between GERD/LPR-positive and GERD/LPR-negative patients. Post radiotherapy duration, high BMI, lack of chemotherapy, and dysphagia were positive risk factors for GERD/LPR.
    Conclusions: A high prevalence of GERD/LPR in patients with post-irradiated NPC exists, but reflux symptoms are inadequate for diagnosis.
    Language English
    Publishing date 2024-01-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645165-2
    ISSN 1097-0347 ; 0148-6403 ; 1043-3074
    ISSN (online) 1097-0347
    ISSN 0148-6403 ; 1043-3074
    DOI 10.1002/hed.27645
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Deep genomic characterization highlights complexities and prognostic markers of pediatric acute myeloid leukemia

    Chi-Keung Cheng / Yuk-Lin Yung / Hoi-Yun Chan / Kam-Tong Leung / Kathy Y. Y. Chan / Alex W. K. Leung / Frankie W. T. Cheng / Chi-Kong Li / Thomas S. K. Wan / Xi Luo / Herbert-Augustus Pitts / Joyce S. Cheung / Natalie P. H. Chan / Margaret H. L. Ng

    Communications Biology, Vol 6, Iss 1, Pp 1-

    2023  Volume 16

    Abstract: A genomic analysis of 147 pediatric acute myeloid leukemia patients identifies extensive gene fusion events and mutations that expand our understanding of the genetic complexities of this cancer. ...

    Abstract A genomic analysis of 147 pediatric acute myeloid leukemia patients identifies extensive gene fusion events and mutations that expand our understanding of the genetic complexities of this cancer.
    Keywords Biology (General) ; QH301-705.5
    Language English
    Publishing date 2023-03-01T00:00:00Z
    Publisher Nature Portfolio
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Deep genomic characterization highlights complexities and prognostic markers of pediatric acute myeloid leukemia.

    Cheng, Chi-Keung / Yung, Yuk-Lin / Chan, Hoi-Yun / Leung, Kam-Tong / Chan, Kathy Y Y / Leung, Alex W K / Cheng, Frankie W T / Li, Chi-Kong / Wan, Thomas S K / Luo, Xi / Pitts, Herbert-Augustus / Cheung, Joyce S / Chan, Natalie P H / Ng, Margaret H L

    Communications biology

    2023  Volume 6, Issue 1, Page(s) 356

    Abstract: Pediatric acute myeloid leukemia (AML) is an uncommon but aggressive hematological malignancy. The poor outcome is attributed to inadequate prognostic classification and limited treatment options. A thorough understanding on the genetic basis of ... ...

    Abstract Pediatric acute myeloid leukemia (AML) is an uncommon but aggressive hematological malignancy. The poor outcome is attributed to inadequate prognostic classification and limited treatment options. A thorough understanding on the genetic basis of pediatric AML is important for the development of effective approaches to improve outcomes. Here, by comprehensively profiling fusion genes as well as mutations and copy number changes of 141 myeloid-related genes in 147 pediatric AML patients with subsequent variant functional characterization, we unveil complex mutational patterns of biological relevance and disease mechanisms including MYC deregulation. Also, our findings highlight TP53 alterations as strong adverse prognostic markers in pediatric AML and suggest the core spindle checkpoint kinase BUB1B as a selective dependency in this aggressive subgroup. Collectively, our present study provides detailed genomic characterization revealing not only complexities and mechanistic insights into pediatric AML but also significant risk stratification and therapeutic strategies to tackle the disease.
    MeSH term(s) Child ; Humans ; Prognosis ; Leukemia, Myeloid, Acute/diagnosis ; Leukemia, Myeloid, Acute/genetics ; Mutation ; Genomics
    Language English
    Publishing date 2023-03-31
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2399-3642
    ISSN (online) 2399-3642
    DOI 10.1038/s42003-023-04732-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A Community-Based Participatory Research Approach to Developing and Testing Social and Behavioural Interventions to Reduce the Spread of SARS-CoV-2: A Protocol for the '

    Molassiotis, Alex / Xie, Yao Jie / Leung, Angela Y M / Ho, Grace W K / Li, Yan / Leung, Polly Hang-Mei / Wang, Hua Li / Chen, Catherine Xiao Rui / Tong, Danny W K / Siu, Judy Yuen-Man / Lau, Joseph T F

    International journal of environmental research and public health

    2022  Volume 19, Issue 20

    Abstract: Background: While a number of population preventive measures for COVID-19 exist that help to decrease the spread of the virus in the community, there are still many areas in preventative efforts that need improvement or refinement, particularly as new ... ...

    Abstract Background: While a number of population preventive measures for COVID-19 exist that help to decrease the spread of the virus in the community, there are still many areas in preventative efforts that need improvement or refinement, particularly as new strains of the virus develop. Some of the key issues currently include incorrect and/or inconsistent use of face masks, low acceptance of early screening or vaccination for COVID-19, vaccine hesitance, and misinformation. This is particularly the case in some vulnerable populations, such as older people with chronic illnesses, ethnic minorities who may not speak the mainstream language well and children. The current protocol introduces a large programme of research through five interrelated studies that all focus on social and behavioural interventions to improve different aspects of community-related preventative indicators. Hence, the specific objectives of the overall programme are to (1) increase early testing for COVID-19 and promote the uptake of COVID-19 vaccines in the community (Study 1); (2) increase COVID-19-related health literacy and vaccine literacy and promote improved preventative measures in minority ethnic groups, chronically ill populations and caregivers (Study 2); (3) strengthen the public's motivation to stay at home and avoid nonessential high-risk activities (Study 3); (4) decrease COVID-19 vaccine hesitancy (Study 4); and (5) enhance the adherence to COVID-19-related hygiene practices and the uptake of early testing in school children (Study 5).
    Methods: We will utilise a community-based participatory research (CBPR) approach in the proposed studies. All studies will incorporate an intervention development phase in conjunction with key community stakeholders, a feasibility study and an execution stage. A variety of self-reported and objective-based measures will be used to assess various outcomes, based on the focus of each study, in both the short- and long-term, including, for example, the 8-item self-reported eHealth Literacy Scale (eHEAL) and objective measures such as vaccine uptake.
    Discussion: Theory-driven interventions will address each study's focus (e.g., social distancing, promotion of vaccine uptake, eHealth education, preventive measures and early detection). Improvements are expected to be seen in the outcomes of vulnerable and high-risk groups. Decreased infection rates are expected due to improved preventative behaviours and increased vaccine uptake. Long-term sustainability of the approach will be achieved through the CBPR model. The publication of this protocol can assist not only in sharing a large-scale and complex community-based design, but will also allow all to learn from this, so that we will have better insight in the future whether sharing of study designs can elicit timely research initiatives.
    MeSH term(s) Child ; Humans ; Aged ; SARS-CoV-2 ; COVID-19/epidemiology ; COVID-19/prevention & control ; Community-Based Participatory Research ; COVID-19 Vaccines ; Hong Kong/epidemiology ; COVID-19 Testing ; Vaccines ; Chronic Disease
    Chemical Substances COVID-19 Vaccines ; Vaccines
    Language English
    Publishing date 2022-10-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph192013392
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Accuracy of ultrasound in the characterization of superficial soft tissue tumors: a prospective study.

    Hung, Esther H Y / Griffith, James F / Yip, Stefanie W Y / Ivory, Marina / Lee, Jeremiah C H / Ng, Alex W H / Tong, Cina S L

    Skeletal radiology

    2020  Volume 49, Issue 6, Page(s) 883–892

    Abstract: Objective: To prospectively evaluate the accuracy of ultrasound in defining the specific nature of superficial soft tissue masses as well as determining malignancy.: Materials and method: Eight hundred twenty-three superficial soft tissue masses were ...

    Abstract Objective: To prospectively evaluate the accuracy of ultrasound in defining the specific nature of superficial soft tissue masses as well as determining malignancy.
    Materials and method: Eight hundred twenty-three superficial soft tissue masses were prospectively evaluated with ultrasound by one of five experienced musculoskeletal radiologists. The radiologist at the time of examination provided one to three specific differential diagnoses and the perceived level of confidence with regard to each diagnosis. Clinical and ultrasound diagnoses were compared with the histological diagnosis to determine accuracy. Tumor malignancy was determined by histology or clinical/imaging follow-up.
    Results: Histological correlation was present for 219 (26.6%) of the 823 masses. Compared with histology, the accuracy of clinical and ultrasound examination for determining specific tumor type was 25.6% and 81.2% respectively considering all differential diagnoses provided. Radiologists were "fully confident" with the ultrasound diagnosis in 585 (71.1%) of 823 masses overall. In this setting, when compared with histology, the diagnostic accuracy of ultrasound was 95.5%. When the radiologist was "not fully confident," accuracy was 41.3% for the first differential diagnosis and 60.9% for all differential diagnoses. Diagnostic accuracy improved with increasing radiologist experience. Sensitivity, specificity, positive predictive value, and negative predictive value of ultrasound for identifying malignant tumor were 93.3%, 97.9%, 45.2%, and 99.9% respectively.
    Conclusions: One can be "fully confident" at characterizing over two-thirds of superficial soft tissue masses based on ultrasound appearances and, in this setting, diagnostic accuracy is very high. Ultrasound examination is also highly accurate at discriminating benign from malignant superficial soft tissue masses.
    MeSH term(s) Diagnosis, Differential ; Female ; Humans ; Male ; Middle Aged ; Predictive Value of Tests ; Prospective Studies ; Sensitivity and Specificity ; Soft Tissue Neoplasms/diagnostic imaging ; Soft Tissue Neoplasms/pathology ; Ultrasonography/methods
    Language English
    Publishing date 2020-01-03
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 527592-1
    ISSN 1432-2161 ; 0364-2348
    ISSN (online) 1432-2161
    ISSN 0364-2348
    DOI 10.1007/s00256-019-03365-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Comparison of virus concentration methods and RNA extraction methods for SARS-CoV-2 wastewater surveillance.

    Zheng, Xiawan / Deng, Yu / Xu, Xiaoqing / Li, Shuxian / Zhang, Yulin / Ding, Jiahui / On, Hei Yin / Lai, Jimmy C C / In Yau, Chung / Chin, Alex W H / Poon, Leo L M / Tun, Hein M / Zhang, Tong

    The Science of the total environment

    2022  Volume 824, Page(s) 153687

    Abstract: Wastewater surveillance is a promising tool for population-level monitoring of the spread of infectious diseases, such as the coronavirus disease 2019 (COVID-19). Different from clinical specimens, viruses in community-scale wastewater samples need to be ...

    Abstract Wastewater surveillance is a promising tool for population-level monitoring of the spread of infectious diseases, such as the coronavirus disease 2019 (COVID-19). Different from clinical specimens, viruses in community-scale wastewater samples need to be concentrated before detection because viral RNA is highly diluted. The present study evaluated eleven different virus concentration methods for the detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in wastewater. First, eight concentration methods of different principles were compared using spiked wastewater at a starting volume of 30 mL. Ultracentrifugation was the most effective method with a viral recovery efficiency of 25 ± 6%. The second-best option, AlCl
    MeSH term(s) COVID-19 ; Humans ; RNA, Viral ; SARS-CoV-2 ; Viruses/genetics ; Wastewater ; Wastewater-Based Epidemiological Monitoring
    Chemical Substances RNA, Viral ; Waste Water
    Language English
    Publishing date 2022-02-05
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 121506-1
    ISSN 1879-1026 ; 0048-9697
    ISSN (online) 1879-1026
    ISSN 0048-9697
    DOI 10.1016/j.scitotenv.2022.153687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Atp7b-dependent choroid plexus dysfunction causes transient copper deficit and metabolic changes in the developing mouse brain.

    Washington-Hughes, Clorissa L / Roy, Shubhrajit / Seneviratne, Herana Kamal / Karuppagounder, Senthilkumar S / Morel, Yulemni / Jones, Jace W / Zak, Alex / Xiao, Tong / Boronina, Tatiana N / Cole, Robert N / Bumpus, Namandjé N / Chang, Christopher J / Dawson, Ted M / Lutsenko, Svetlana

    PLoS genetics

    2023  Volume 19, Issue 1, Page(s) e1010558

    Abstract: Copper (Cu) has a multifaceted role in brain development, function, and metabolism. Two homologous Cu transporters, Atp7a (Menkes disease protein) and Atp7b (Wilson disease protein), maintain Cu homeostasis in the tissue. Atp7a mediates Cu entry into the ...

    Abstract Copper (Cu) has a multifaceted role in brain development, function, and metabolism. Two homologous Cu transporters, Atp7a (Menkes disease protein) and Atp7b (Wilson disease protein), maintain Cu homeostasis in the tissue. Atp7a mediates Cu entry into the brain and activates Cu-dependent enzymes, whereas the role of Atp7b is less clear. We show that during postnatal development Atp7b is necessary for normal morphology and function of choroid plexus (ChPl). Inactivation of Atp7b causes reorganization of ChPl' cytoskeleton and cell-cell contacts, loss of Slc31a1 from the apical membrane, and a decrease in the length and number of microvilli and cilia. In ChPl lacking Atp7b, Atp7a is upregulated but remains intracellular, which limits Cu transport into the brain and results in significant Cu deficit, which is reversed only in older animals. Cu deficiency is associated with down-regulation of Atp7a in locus coeruleus and catecholamine imbalance, despite normal expression of dopamine-β-hydroxylase. In addition, there are notable changes in the brain lipidome, which can be attributed to inhibition of diacylglyceride-to-phosphatidylethanolamine conversion. These results identify the new role for Atp7b in developing brain and identify metabolic changes that could be exacerbated by Cu chelation therapy.
    MeSH term(s) Mice ; Animals ; Copper-Transporting ATPases ; Copper/metabolism ; Choroid Plexus/metabolism ; Menkes Kinky Hair Syndrome/metabolism ; Brain/metabolism
    Chemical Substances Copper-Transporting ATPases (EC 7.2.2.8) ; Copper (789U1901C5) ; Atp7b protein, mouse (EC 7.2.2.8)
    Language English
    Publishing date 2023-01-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2186725-2
    ISSN 1553-7404 ; 1553-7390
    ISSN (online) 1553-7404
    ISSN 1553-7390
    DOI 10.1371/journal.pgen.1010558
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  9. Article ; Online: ABCC4

    Fan, Paroni O L / Leung, Kam-Tong / Chan, Kathy Y Y / Leung, Alex W K / Lam, Grace K S / Chow, Terry T W / Cheng, Frankie W T / Yuen, Liz Y P / Moriyama, Takaya / Yang, Jun J / Li, Chi-Kong

    Pediatric hematology and oncology

    2021  Volume 39, Issue 3, Page(s) 254–266

    Abstract: Inter-individual variance in 6-mercaptopurine (6-MP) dose intensity is common in patients with acute lymphoblastic leukemia (ALL). We aimed to evaluate the association of common variants ... ...

    Abstract Inter-individual variance in 6-mercaptopurine (6-MP) dose intensity is common in patients with acute lymphoblastic leukemia (ALL). We aimed to evaluate the association of common variants of
    MeSH term(s) Antimetabolites, Antineoplastic/adverse effects ; Antimetabolites, Antineoplastic/therapeutic use ; Child ; China ; Humans ; Mercaptopurine/adverse effects ; Mercaptopurine/therapeutic use ; Methyltransferases/genetics ; Multidrug Resistance-Associated Proteins/genetics ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/genetics ; Pyrophosphatases/genetics
    Chemical Substances ABCC4 protein, human ; Antimetabolites, Antineoplastic ; Multidrug Resistance-Associated Proteins ; Mercaptopurine (E7WED276I5) ; Methyltransferases (EC 2.1.1.-) ; TPMT protein, human (EC 2.1.1.67) ; NUDT15 protein, human (EC 2.6.1.-) ; Pyrophosphatases (EC 3.6.1.-) ; ITPA protein, human (EC 3.6.1.9)
    Language English
    Publishing date 2021-10-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 632914-7
    ISSN 1521-0669 ; 0888-0018
    ISSN (online) 1521-0669
    ISSN 0888-0018
    DOI 10.1080/08880018.2021.1973628
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: MRI criteria for diagnosis and predicting severity of carpal tunnel syndrome.

    Ng, Alex W H / Griffith, James F / Tong, Cina S L / Law, Eric K C / Tse, W L / Wong, Clara W Y / Ho, P C

    Skeletal radiology

    2019  Volume 49, Issue 3, Page(s) 397–405

    Abstract: Objective: To study MRI criteria for diagnosing and predicting severity of carpal tunnel syndrome (CTS).: Methods: Sixty-nine wrists in 41 symptomatic CTS patients and 32 wrists in 28 asymptomatic subjects were evaluated by MRI. Circumferential ... ...

    Abstract Objective: To study MRI criteria for diagnosing and predicting severity of carpal tunnel syndrome (CTS).
    Methods: Sixty-nine wrists in 41 symptomatic CTS patients and 32 wrists in 28 asymptomatic subjects were evaluated by MRI. Circumferential surface area (CSA), flattening ratio, relative median nerve signal intensity, and retinacular bowing were measured. CTS severity was classified as mild, moderate, or severe. Parameters for patients with and without CTS and for the three severity groups were compared. ROC curves were plotted to assess accuracy for CTS diagnosis and severity prediction.
    Results: Significant differences were found between CTS and control wrists for median nerve CSA, flattening ratio at inlet, relative median nerve signal intensity, and retinacular bowing. ROC curve analysis revealed a sensitivity, specificity, and accuracy of median nerve CSA > 15 mm
    Conclusions: MRI is highly accurate at diagnosing CTS and moderately accurate at determining CTS severity. We recommend using CSA > 15 mm
    MeSH term(s) Adult ; Aged ; Carpal Tunnel Syndrome/classification ; Carpal Tunnel Syndrome/diagnostic imaging ; Diagnosis, Differential ; Female ; Humans ; Magnetic Resonance Imaging/methods ; Male ; Middle Aged ; Predictive Value of Tests ; Prospective Studies ; Sensitivity and Specificity ; Severity of Illness Index
    Language English
    Publishing date 2019-08-09
    Publishing country Germany
    Document type Journal Article ; Observational Study
    ZDB-ID 527592-1
    ISSN 1432-2161 ; 0364-2348
    ISSN (online) 1432-2161
    ISSN 0364-2348
    DOI 10.1007/s00256-019-03291-0
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