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Article: Comprehensive Evaluation of Quality of Life in Penile Cancer Patients following Surgical Treatment.

Jovanović, Darko / Aćimović, Miodrag / Pejčić, Tomislav / Milojević, Bogomir / Čegar, Bojan / Zeković, Milica / Lisičić, Nikola / Džamić, Zoran / Marić, Gorica

Healthcare (Basel, Switzerland)

2023 Volume 11, Issue 23

Abstract: Background: Penile cancer (PC) is a highly aggressive disease, with a significant tendency for lymphatic spreading and subsequent development of distant metastases. The mutilating nature of PC surgical treatment has profound implications on the patient' ... ...

Abstract	Background: Penile cancer (PC) is a highly aggressive disease, with a significant tendency for lymphatic spreading and subsequent development of distant metastases. The mutilating nature of PC surgical treatment has profound implications on the patient's body integrity and self-image, sexual life and intimacy, voiding and mental health. The aim of our study was to comprehensively evaluate PC patients' post-treatment quality of life (QoL), sexual activity, self-esteem, fatigue and fear of disease recurrence. (2) Methods: A cross-sectional study was conducted at the Clinic of Urology, University Clinical Centre of Serbia, and included 31 PC patients. Data were collected by means of a questionnaire. (3) Results: The average score on the Global health status scale was 67.2 out of 100 (ranging from 16.7 to 100), and the SD was 22.5. Hierarchical linear regression analysis showed that demographic characteristics, Hospital Anxiety and Depression scale (HADS) anxiety and depression scores, total Multidimensional Fatigue Inventory, Fear of cancer recurrence and Rosenberg scores and erectile function score explained a total of 78.2% of the variance in the global health status/QoL scale of PC patients. (4) Conclusions: Efforts should be made not only to increase the survival of PC patients after surgical treatment but also to enable the best possible level of QoL in the post-operative period.
Language	English
Publishing date	2023-12-04
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare11233091
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Article: Real World Overall Survival of Patients With Metastatic Renal Cell Carcinoma Treated With Only Available Sunitinib and Pazopanib in First-Line Setting.

Nikic, Predrag / Babovic, Nada / Dzamic, Zoran / Salma, Svetlana / Stojanovic, Vesna / Matkovic, Suzana / Pejcic, Zoran / Juskic, Kristina / Soldatovic, Ivan

Frontiers in oncology

2022 Volume 12, Page(s) 892156

Abstract: Background: The emerging new standard of care for metastatic clear cell renal carcinoma (mRCC) becomes a challenge when access to new drugs is limited. In Serbia, sunitinib and pazopanib are the only available first-line therapies. The second-line ... ...

Abstract	Background: The emerging new standard of care for metastatic clear cell renal carcinoma (mRCC) becomes a challenge when access to new drugs is limited. In Serbia, sunitinib and pazopanib are the only available first-line therapies. The second-line treatment for mRCC has never been and is still not available. We aimed to assess overall survival (OS) in patients with mRCC who received first-line sunitinib or pazopanib when access to second-line treatment was not available. Methods: This retrospective observational study analyzed data from a nationally representative cohort of 759 patients who started on first-line sunitinib or pazopanib between 1 January 2012 and 30 June 2019, in 4 centers in Serbia. The data cut-off date was 31 December 2019. Key eligibility criteria were clear cell RCC histology, measurable metastatic disease, performance status 0 or 1, and the Memorial Sloan Kettering Cancer Center favorable or intermediate prognosis. The primary outcome was OS from the start of first-line treatment to death or data cut-off date. Results: The study population included 759 patients with mRCC who started with first-line sunitinib (n = 673; [88.7%]) or pazopanib (n = 86; [11.3%]). Overall, the mean age was 61.0 ± 9.7 years at treatment baseline, and 547 (72%) were men. mRCC was primarily diagnosed in 230 (30%) patients, and most of them underwent cytoreductive nephrectomy prior to systemic therapy (n = 181 [79%]). Additional treatment of metastases prior to and/or during treatment was used in 169 patients (22.3%). Grade 3 and 4 adverse events occurred in 168 (22.1%) and 47 patients (6.2%), respectively, and treatment was permanently stopped because of toxicity in 41 (6.9%). The OS was calculated from the start of first-line treatment, and the median follow-up was 14 months (range, 0-97). The median OS in the entire cohort was 17 months (95% CI, 14.6-19.4). Conclusions: With only available sunitinib and pazopanib in first-line treatment, modest improvements are seen in the overall survival of patients with mRCC in real world clinical practice. In circumstances of limited availability of cancer medicines, our results can contribute to accelerating patient access to novel cancer therapies that have been shown to prolong survival in mRCC.
Language	English
Publishing date	2022-06-08
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2022.892156
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Article: Usage of GreenLight HPS 180-W laser vaporisation for treatment of benign prostatic hyperplasia.

Jovanović, M / Džamić, Z / Aćimović, M / Kajmaković, B / Pejčić, T

Acta chirurgica Iugoslavica

2014 Volume 61, Issue 1, Page(s) 57–61

Abstract: Introduction: Laser therapy has gained increasing acceptance as a relatively less invasive treatment for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). From the early procedure of interstitial laser coagulation through to ...

Abstract	Introduction: Laser therapy has gained increasing acceptance as a relatively less invasive treatment for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). From the early procedure of interstitial laser coagulation through to the use of holmium laser enucleation of the prostate, there has been an expanding body of evidence on the efficacy of such procedures. One of the newer lasers is the Green Light HPS 180 W laser. Studies with this GreenLight laser (GLL) (American Medical Systems, Inc, Minnetonka, MN, USA) showing results as good as those of transurethral resection of the prostate (TURP). In this paper, the efficacy of the new GLL 180-W versus the gold standard TURP in patients with LUTS due to BPH was tested in a prospective clinical trial. Objective: To compare results of Green light laser (GLL) evaporisation of the prostatae and transurethral resection of the prostate (TURP) for treatment of BPH. MATERIJALS AND METHODS: A total of 62 patients with BPH were randomly assigned to two equal groups: TURP or GLL. Results: Both groups were compared regarding all relevant preoperative, operative, and postoperative parameters. Functional results in terms of improvement of International Prostate Symptom Score (IPSS), maximum flow rate (Qmax), and postvoid residual (PVR) urine were assessed at 1, 3, 6 and 12 mo. A total of 62 patients completed 12 mo of follow-up in the TURP and GLL groups, respectively. Baseline characteristics were comparable. Mean operative time was significantly shorter for TURP. Compared to preoperative values, there was significant reduction in hemoglobin levels at the end of TURP only. A significant difference in favor of GLL was achieved regarding the duration of catheterization and hospital stay. In the GLL, no major intraoperative complications were recorded and none of the patients required blood transfusion. Among TURP patients, 6 required transfusion, 1 developed TUR syndrome, and capsule perforation was observed in 5 patients. There was dramatic improvement in Qmax, IPSS, and GLL compared with preoperative values and the degree of improvement was comparable in both groups at all time points of follow-up. Four TURP patients and one GLL patients developed bladder neck contracture treated by bladder neck incision; none in either group experienced urethral stricture or urinary incontinence. Conclusions: Compared to transurethral resection of the prostate, GreenLight HPS 180-W laser photoselective vaporization of the prostate is safe and effective in the treatment of patients suffering from lower urinary tract symptoms due to benign prostatic hyperplasia.
MeSH term(s)	Aged ; Comparative Effectiveness Research ; Humans ; Laser Therapy/adverse effects ; Laser Therapy/instrumentation ; Laser Therapy/methods ; Lasers/utilization ; Length of Stay ; Lower Urinary Tract Symptoms/etiology ; Lower Urinary Tract Symptoms/psychology ; Lower Urinary Tract Symptoms/therapy ; Male ; Middle Aged ; Postoperative Complications/surgery ; Prospective Studies ; Prostate/pathology ; Prostatic Hyperplasia/complications ; Prostatic Hyperplasia/diagnosis ; Prostatic Hyperplasia/therapy ; Quality of Life ; Transurethral Resection of Prostate/adverse effects ; Transurethral Resection of Prostate/methods ; Treatment Outcome ; Urinary Bladder Neck Obstruction/etiology ; Urinary Bladder Neck Obstruction/surgery
Language	English
Publishing date	2014
Publishing country	Serbia
Document type	Comparative Study ; Journal Article ; Randomized Controlled Trial
ZDB-ID	428721-6
ISSN	0354-950X ; 0001-5474
ISSN	0354-950X ; 0001-5474
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Article: Trans-Obturator-Tape (T.O.T.) "outside-in" approach in surgical treatment of female stress urinary incontinence.

Jovanović, M / Džamić, Z / Aćimović, M / Kajmaković, B / Pejčić, T

Acta chirurgica Iugoslavica

2014 Volume 61, Issue 1, Page(s) 69–72

Abstract: Objective: The aim of the study was to analyzed the efficacy and safety of a minimally invasive surgical procedure using the Trans- Obturator-Tape with "outside-in" approach for treatment female stress urinary incontinence.: Patients and methods: 171 ...

Abstract	Objective: The aim of the study was to analyzed the efficacy and safety of a minimally invasive surgical procedure using the Trans- Obturator-Tape with "outside-in" approach for treatment female stress urinary incontinence. Patients and methods: 171 women with stress urinary incontinence (SUI) associated with urethral hypermobility, underwent the T.O.T. procedure (March 2010 to January 2014). 27 patients were previously operated for incontinence. Mean age was 59 years (37-80). 6 patients were having mixed incontinence, and 51 had SUI with urgencies. A non-elastic, polypropylene tape was placed under the mid-urethra. The surgical placement technique utilises a trans-obturator percutaneous approach. All patients underwent post-operative clinical examination, cough-stress test (full bladder), uroflowmetry, and post-voiding residual assessment. Results: Mean follow-up was 22 months (4-45). At 12 months follow-up 91,2% of the patients were completely cured. The overall peri-operative complication rate was 6.4% with no vascular, nerve or bowel injury. 5 patients (2.9%) had post-operative urinary retention. Conclusion: The present study confirms the results obtained by the instigator of the technique, E. Delorme, and allows us to consider T.O.T. as an effective and safe technique for the treatment of female stress urinary incontinence.
MeSH term(s)	Female ; Humans ; Middle Aged ; Minimally Invasive Surgical Procedures/methods ; Polypropylenes/therapeutic use ; Postoperative Complications/therapy ; Suburethral Slings ; Treatment Outcome ; Urinary Incontinence, Stress/surgery ; Urinary Retention/etiology ; Urinary Retention/therapy ; Urologic Surgical Procedures/adverse effects ; Urologic Surgical Procedures/instrumentation ; Urologic Surgical Procedures/methods
Chemical Substances	Polypropylenes
Language	English
Publishing date	2014
Publishing country	Serbia
Document type	Journal Article
ZDB-ID	428721-6
ISSN	0354-950X ; 0001-5474
ISSN	0354-950X ; 0001-5474
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Article ; Online: The Polyphenols as Potential Agents in Prevention and Therapy of Prostate Diseases.

Pejčić, Tomislav / Tosti, Tomislav / Džamić, Zoran / Gašić, Uroš / Vuksanović, Aleksandar / Dolićanin, Zana / Tešić, Živoslav

Molecules (Basel, Switzerland)

2019 Volume 24, Issue 21

Abstract: In recent years, the progress of science and medicine greatly has influenced human life span and health. However, lifestyle habits, like physical activity, smoking cessation, moderate alcohol consumption, diet, and maintaining a normal body weight ... ...

Abstract	In recent years, the progress of science and medicine greatly has influenced human life span and health. However, lifestyle habits, like physical activity, smoking cessation, moderate alcohol consumption, diet, and maintaining a normal body weight represent measures that greatly reduce the risk of various diseases. The type of diet is very important for disease development. Numerous epidemiological clinical data confirm that longevity is linked to predominantly plant-based diets and it is related to a long life; whereas the western diet, rich in red meat and fats, increases the risk of oxidative stress and thus the risk of developing various diseases and pre-aging. This review is focused on the bioavailability of polyphenols and the use of polyphenols for the prevention of prostate diseases. Special focus in this paper is placed on the isoflavonoids and flavan-3-ols, subgroups of polyphenols, and their protective effects against the development of prostate diseases.
MeSH term(s)	Flavonoids/therapeutic use ; Humans ; Isoflavones/therapeutic use ; Male ; Polyphenols/therapeutic use ; Prostatic Diseases/drug therapy ; Prostatic Diseases/prevention & control
Chemical Substances	Flavonoids ; Isoflavones ; Polyphenols ; flavan-3-ol (35HDD3NRIE)
Language	English
Publishing date	2019-11-04
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	1413402-0
ISSN	1420-3049 ; 1431-5165 ; 1420-3049
ISSN (online)	1420-3049
ISSN	1431-5165 ; 1420-3049
DOI	10.3390/molecules24213982
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Article: The case of the diverticular bladder tumor treated with diverticulectomy.

Pejcić, T / Dzamić, Z / Dimitrijević, V / Aćimović, M / Hadzi-Djokić, J

Acta chirurgica Iugoslavica

2014 Volume 60, Issue 1, Page(s) 91–93

Abstract: Introduction: The majority of diverticular bladder tumors (DBT) are urothelial. Due to the lack of the muscular layer in the diverticulum, the progression of these tumors is easier than in the bladder wall.: Case report: The case of invasive DBT with ...

Abstract	Introduction: The majority of diverticular bladder tumors (DBT) are urothelial. Due to the lack of the muscular layer in the diverticulum, the progression of these tumors is easier than in the bladder wall. Case report: The case of invasive DBT with painless hematuria is presented. The patient was treated with diverticulectomy. Conclusion: Unifocal Stage-T3 DBTs can be successfully treated with diverticulectomy.
MeSH term(s)	Aged ; Carcinoma, Transitional Cell/pathology ; Carcinoma, Transitional Cell/surgery ; Diverticulum/pathology ; Diverticulum/surgery ; Hematuria/etiology ; Humans ; Male ; Neoplasm Invasiveness ; Urinary Bladder Neoplasms/pathology ; Urinary Bladder Neoplasms/surgery
Language	English
Publishing date	2014-03-25
Publishing country	Serbia
Document type	Case Reports ; Journal Article
ZDB-ID	428721-6
ISSN	0354-950X ; 0001-5474
ISSN	0354-950X ; 0001-5474
DOI	10.2298/aci1301091p
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Article ; Online: Bilateral renal cell carcinoma with bilateral synchronous adrenal gland metastases - a case report.

Hadzi-Djokic, J / Andrejevic, Vladan / Pejcic, T / Djurasic, L / Acimovic, M / Dzamic, Z

Polski przeglad chirurgiczny

2014 Volume 86, Issue 2, Page(s) 97–99

Abstract: The authors reported a case of a 52-year-old patient with bilateral synchronous renal cell carcinoma synchronously disseminated in adrenal glands is presented. The patient underwent surgical treatment: radical nephrectomy on the right side, bilateral ... ...

Abstract	The authors reported a case of a 52-year-old patient with bilateral synchronous renal cell carcinoma synchronously disseminated in adrenal glands is presented. The patient underwent surgical treatment: radical nephrectomy on the right side, bilateral adrenectomie on the right and partial nephrectomy on the left side. Five years after surgery, patient is in complete remission.
MeSH term(s)	Adrenal Gland Neoplasms/secondary ; Adrenal Gland Neoplasms/surgery ; Adrenalectomy ; Carcinoma, Renal Cell/secondary ; Carcinoma, Renal Cell/surgery ; Female ; Humans ; Kidney Neoplasms/surgery ; Middle Aged ; Neoplasms, Second Primary/secondary ; Neoplasms, Second Primary/surgery ; Nephrectomy ; Remission Induction
Language	English
Publishing date	2014-02
Publishing country	Poland
Document type	Case Reports ; Journal Article
ZDB-ID	128732-1
ISSN	2299-2847 ; 0032-373X
ISSN (online)	2299-2847
ISSN	0032-373X
DOI	10.2478/pjs-2014-0018
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Article: Preoperative Gleason score, percent of positive prostate biopsies and PSA in predicting biochemical recurrence after radical prostatectomy.

Acimovic, M / Dabic-Stankovic, K / Pejcic, T / Dzamic, Z / Rafailovic, D / Hadzi-Djokic, J

Journal of B.U.ON. : official journal of the Balkan Union of Oncology

2014 Volume 18, Issue 4, Page(s) 954–960

Abstract: Purpose: To determine the factors that can improve the prediction of biochemical recurrence after radical prostatectomy for the patients with prostate adenocarcinoma.: Methods: Our study included 182 patients with prostate adenocarcinoma who were ... ...

Abstract	Purpose: To determine the factors that can improve the prediction of biochemical recurrence after radical prostatectomy for the patients with prostate adenocarcinoma. Methods: Our study included 182 patients with prostate adenocarcinoma who were biopsied and underwent radical surgical treatment at the Clinic of Urology, Clinical Center of Serbia, Medical Faculty in Belgrade from 1994 to 2004. Patients were prospectively followed-up and monitored for a minimum of 8 years and data were statistically processed by multivariate regression analysis. We arranged the predictors into 3 regressive models. In the first model the predictors were clinical stage of the disease, preoperative Gleason score, F/T PSA ratio and PSA. In the second model these predictors were accompanied with the number of positive biopsies and percent of positive prostate biopsies. In the third model, patient follow-up was added to the predictors. In all 3 models biochemical recurrence was considered as a dependent variable. Results: On multivariate analysis, patient follow-up (p<0.0001), percent of positive prostate biopsies (p<0.0001), bioptic Gleason score (p<0.0001) and preoperative PSA (p<0.003) were significant independent predictors of biochemical recurrence. The most successful prediction of recurrence that provided accurate prognosis for 80% of the patients was obtained by the third model using the percent of positive prostate biopsies, PSA and patient follow-up. Conclusion: As stated in multivariate analysis, the independent predictors according to the significance are the follows: patient follow-up, percent of positive prostate biopsies, bioptic Gleason score and preoperative PSA, whereas preoperative F/T PSA ratio is dependent predictor. The number of positive biopsies and clinical stage of the disease are of no significance.
MeSH term(s)	Adenocarcinoma/blood ; Adenocarcinoma/pathology ; Adenocarcinoma/surgery ; Biopsy ; Chi-Square Distribution ; Disease-Free Survival ; Humans ; Kallikreins/blood ; Linear Models ; Male ; Multivariate Analysis ; Neoplasm Grading ; Neoplasm Staging ; Odds Ratio ; Prospective Studies ; Prostate-Specific Antigen/blood ; Prostatectomy/adverse effects ; Prostatic Neoplasms/blood ; Prostatic Neoplasms/pathology ; Prostatic Neoplasms/surgery ; Risk Assessment ; Risk Factors ; Serbia ; Time Factors ; Treatment Outcome
Chemical Substances	KLK3 protein, human (EC 3.4.21.-) ; Kallikreins (EC 3.4.21.-) ; Prostate-Specific Antigen (EC 3.4.21.77)
Language	English
Publishing date	2014-01-08
Publishing country	Cyprus
Document type	Journal Article
ZDB-ID	2040386-0
ISSN	2241-6293 ; 1107-0625
ISSN (online)	2241-6293
ISSN	1107-0625
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Zs.A 5438: Show issues

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Article ; Online: Acute and Late Genitourinary Toxicity after 72 Gy of Conventionally Fractionated Conformal Radiotherapy for Localised Prostate Cancer: Impact of Individual and Clinical Parameters.

Stankovic, V / Džamic, Z / Pekmezovic, T / Tepavcevic, D K / Dozic, M / Saric, M / Vuckovic, S / Nikitovic, M

Clinical oncology (Royal College of Radiologists (Great Britain))

2016 Volume 28, Issue 9, Page(s) 577–586

Abstract: Aim: Our aim was to estimate the incidence of acute and late genitourinary toxicity in patients treated with three-dimensional conformal radiotherapy (3DCRT) for localised prostate cancer and to estimate the possible influence of individual and clinical ...

Abstract	Aim: Our aim was to estimate the incidence of acute and late genitourinary toxicity in patients treated with three-dimensional conformal radiotherapy (3DCRT) for localised prostate cancer and to estimate the possible influence of individual and clinical characteristics. Materials and methods: Between September 2009 and September 2013, 225 patients with localised prostate cancer were treated with 3DCRT. Ninety-four patients with an estimated risk of lymph node involvement ≤15%, according to the Roach formula, were evaluated in this study. All patients received a total dose of 72 Gy in 36 fractions. Acute and late genitourinary toxicity were graded according to the European Organization for Research and Treatment of Cancer radiation morbidity scoring scale. Characteristics such as age, smoking status, previous abdominal or pelvic surgery (PAPS), diabetes mellitus and the use of diuretics were analysed as possible predictive factors of toxicity. The median follow-up was 27 months. Results: Grade ≥2 acute toxicity during 3DCRT developed in 25 of 94 patients (26.5%). Predictive factors of acute genitourinary toxicity grade ≥2 in the multivariate logistic regression analysis (MVA) were current smoking status (P = 0.003), PAPS (P = 0.012) and the use of diuretics (P = 0.017). The 2 and 3 year cumulative risk of late genitourinary toxicity grade ≥1 was 25.3% and 30.2%, respectively. In the MVA, acute genitourinary toxicity was significantly associated with late genitourinary toxicity (P = 0.024). Conclusion: Current smoking status, PAPS and the use of diuretics have a significant effect on the occurrence of acute genitourinary toxicity grade ≥2. The occurrence of any grade of acute genitourinary toxicity has a significant influence on the development of any grade of late genitourinary toxicity.
MeSH term(s)	Aged ; Aged, 80 and over ; Humans ; Incidence ; Male ; Middle Aged ; Prostatic Neoplasms/radiotherapy ; Radiation Injuries/epidemiology ; Radiation Injuries/etiology ; Radiotherapy Dosage ; Radiotherapy, Conformal/adverse effects ; Radiotherapy, Conformal/methods ; Risk Factors ; Urogenital System/radiation effects
Language	English
Publishing date	2016-09
Publishing country	England
Document type	Journal Article
ZDB-ID	1036844-9
ISSN	1433-2981 ; 0936-6555
ISSN (online)	1433-2981
ISSN	0936-6555
DOI	10.1016/j.clon.2016.04.041
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Article: Polymorphisms in Genes Encoding Glutathione Transferase Pi and Glutathione Transferase Omega Influence Prostate Cancer Risk and Prognosis.

Santric, Veljko / Dragicevic, Dejan / Matic, Marija / Djokic, Milica / Pljesa-Ercegovac, Marija / Radic, Tanja / Suvakov, Sonja / Nikitovic, Marina / Stankovic, Vesna / Milojevic, Bogomir / Radovanovic, Milan / Dzamic, Zoran / Simic, Tatjana / Savic-Radojevic, Ana

Frontiers in molecular biosciences

2021 Volume 8, Page(s) 620690

Abstract: Considering the pleiotropic roles of glutathione transferase (GST) omega class members in redox homeostasis, we hypothesized that polymorphisms ... ...

Abstract	Considering the pleiotropic roles of glutathione transferase (GST) omega class members in redox homeostasis, we hypothesized that polymorphisms in
Language	English
Publishing date	2021-04-14
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2814330-9
ISSN	2296-889X
ISSN	2296-889X
DOI	10.3389/fmolb.2021.620690
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