Spotting Potential Opportunities for Teachable moments (SPOT)

Autor: Stefanie, Sebok-Syer, Adam, Dukelow, Lisa, Shepherd, Robert, Sedran, Allison, McConnell, Lorelei, Lingard, Kelly, Dore, Shiphra, Ginsburg, Glenn, Regehr, Jonathan, Sherbino, Spencer, Sample, Hussein, Al-Rimawi, Teresa, Chan, Leora Branfield, Day, Terry, Colbourne, Alex, Ng, Franco, Rizzuti, Linda, Zhou, Rani, Mungroo, Allan, McDougall, Stephanie, Baxter, Heather, Braund, Tessa, Hanmore, Nancy, Dalgarno, Debra, Pugh, Vincent, Dion, Ilona, Bartman, Claire, Touchie, Christina, St-Onge, Carlos, Gomez-Garibello, Maryam, Wagner, Valerie, Dory, Keith, Wycliffe-Jones, Jacqueline, Hui, Joshua, Brochu, Tristen, Gilchrist, Rose, Hatala, Andrea, Gingerich, Jeffrey, Owen, Mark, Lafave, Michelle, Yeo, Maria Palacios, Mackay, Elizabeth Oddone, Paolucci, Milena, Forte, Natalie, Morson, Natasha, Mirchandani, Warren, Rubenstein, Batya, Grundland, Oshan, Fernando, Debra, Sibbald, Élise Vachon, Lachiver, Serge, Langevin, Elisabeth, Boileau, Frédéric, Bernier, Aliki, Thomas, Elise Vachon, Lachiver, Maude, Lemay, Meghan, McConnell, Mohammad, Jalili, Azadeh Kordestani, Moghadam, Hamidreza, Khankeh, Martine, Chamberland, Jean, Setrakian, Mélanie, Marceau, Julie, Ouellet, Christian, Campagna, Linda, Bergeron, Miriam, Lacasse, Luc, Côté, Gabrielle, Hogue, Pascal, Lalancette, Jean-Sébastien, Renaud, Christian, Rheault, Marion, Dove, Marie-Pierre, Codsi, Lyne, Pitre, Luce, Pélissier-Simard, Jennifer, Tam, Anupma, Wadhwa, Maria Athina (Tina), Martimianakis, Pamela, Brett-MacLean, Hollis, Lai, Tracey, Hillier, Helly, Goez, Emmanuelle, Careau, Marie-Claire, Bérubé, Émélie, Provost, Julien, Poitras, Geneviève, Bhérer, Marie-Chantal, Denis, Caroline, Dugal, Patrice, Lemay, Desiree, Naude, Erin, Walling, Marcel, D'Eon, Erin, Cameron, Jacqueline, Harvey, Holly, Fleming, Lawrence, Grierson, Meredith, Vanstone, Ellen M., Friedman, Jordan, Shapiro, Lori, Nemoy, Kristen, Daly, Christine, Léger, Nazanin, Khodadoust, Douglas, Campbell, Ryan, Brydges, Javeed, Sukhera, Kaitlyn, Bertram, Shawn, Hendrikx, Margaret, Chisolm, Juliette, Perzhinsky, Erin, Kennedy, Mark, Goldszmidt, Ahmed, Moussa, Claude-Julie, Bourque, Nathalie, Loye, Audrey Larone, Juneau, Evelyne, Wassef, Emilie, Dumont, Michael-Andrew, Assaad, Farhana, Shariff, Alison, Freeland, Sanjeev, Sockalingam, David, wiljer, Alicia, Lozon, Gurpreet, Grewal, Fadi, Gorgi, Zarah, Chaudhary, Carla, Garcia, Maria, Mylopoulos, Jennifer, Carpenter, Guy, Sheahan, Eleftherios, Soleas, Mikaila De, sousa, Elizabeth, Matzinger, Nicholas, Cofie, Victoria, Luong, Paula, Cameron, Anna, MacLeod, Olga, Kits, Lucy, Patrick, George, Kovacs, Jonathan, Tummons, Molly, Fredeen, Nicolas, Fernandez, Rola, Ajjawi, Marti, Cleveland-Innes, Joanna, Rankin, Rachel, Grimminck, Paige, Durling, Amber, Barlow, Jihane, Henni, Dean, Mrozowich, Liam, Dowling, Andrea, Guerin, Lindsay, Davidson, Kelsey, Mongrain, Kay-Anne, Haykal, James, Barton, Anurag, Saxena, Stacey, Lovo, Veronica, McKinney, Leen, Naji, Zahra, Sohani, Sydney, McQueen, Aidan, McParland, Melanie Hammond, Mobilio, Carol-anne, Moulton, Tandi, Wilkinson, Shireen, Mansouri, Natasha, Snelgrove, Sheila, Harms, JoAnn, Corey, Shivani, Upadhyaya, Marghalara, Rashid, Andrea, Davila-Cervantes, Anna, Oswald, Vivesh, Patel, Stephen, Mann, Margaret, Henri, Robert, Gagnon, François, Gobeil, Geneviève, Grégoire, Lolade, Shipeolu, Johanne, Matthieu, Farhan, Mahmood, Ike, Okafor, Amanda, Jones, Alasdair Nazerali, Maitland, Samantha, Stasiuk, Amil, Shah, Reed, Holden, Heather, Armson, Rachelle, Lee-Krueger, Karen, Könings, Amanda Roze des, Ordons, Jessica, Trier, Marygrace, Zetkulik, Jocelyn, Lockyer, Joan, Sargeant, Victoria, McKinnon, Cindy, Tran, Jennifer, Zering, Ranil, Sonnadara, Douglas, Archibald, Dianne, Delva, Viola, Antao, Cheri, Bethune, Catherine, Giroux, Katherine, Moreau, Imaan, Javeed, Anita, Balakrishna, Stephanie, Zhou, Lisa, Robinson, Wendy A, Stewart, Mark, Gilbert, Pat, Croskerry, Stephen, Miller, Laura, Thomas, John E., Brush, Mark, Lee, Judith, Taylor-Fishwick, Geoffrey, Norman, Jonathan, Misskey, Kevin, Eva, Meredith, Young, Ana Da, Silva, Stuart, Lubarksy, Larry, Gruppen, David, Gordon, Temple, Ratcliffe, Tiffany, Ballard, Joseph, Rencic, Lambert, Schuwirth, Steven, Durning, Azin, Ahrari, Jacqueline, Torti, Kamilah, Abdur-Rashid, Jonathan, Ilgen, Judith, Bowen, Pim, Teunissen, Anique, de Bruin, Traci, Cook, Sarah, Wright, Victoria, Boyd, Nicole, Woods, Malika, Sharma, Lisa, Richardson, Ryan, Giroux, Sung Min (Steven), Cho, Mariela, Ruetalo, Glen, Bandiera, Shannon, Ruzycki, Allison, Brown, Aleem, Bharwani, Georgina, Freeman, Wendy, Hu, Eleanor, Flynn, Robyn, Woodward-Kron, James, Andrew, Lindsay, Herzog, Jason, Pennington, Alya, Heirali, Rachel, Ward, Robert, Johnston, Ashley, Cornect-Benoit, Sharon, Foster, Pearl Yellow Old, Woman, Rita, Henderson, Cheryl, Barnabe, Lynden, Crowshoe, Natalie, Sloof, Layla Amer, Ali, Tyler, Blue, Brenna, Hansen, Danny, Kim, George, Kim, Cathy, Fournier, Robin, Oakley, Cynthia, Whitehead, Christophe, Moderie, Éric, Drouin, Richard, Rioux, Anne-Sophie, Thommeret-Carrière, Jean-Michel, Leduc, Karen, Coetzee, Sandra, Monteiro, Samantha, Halman, Angel, Fu, Sarah, Troster, Vijay, Daniels, Deena, Hamza, Cynthia, Min, Deborah, Butler, Daniel, Pratt, Helen, Reid, Jennifer, Johnston, Mairead, Corrigan, Tim, Dornan, Nishan, Sharma, Rahim, Kachra, Cydnee, Seneviratne, Amélie, Richard, Sébastien, Yergeau, Mathieu, Gagnon, Erica, Amari, Kiran, Veerapen, Wilson, Luong, Jennifer, Clark, Katherine, Wisener, Brenda, Hardie, Sue, Murphy, Robin, Roots, Donna, Drynan, Julia, Klick, Ingrid, Harle, Richard van, Wylick, Irina, Charania, Ian, Wishart, Gemma, Percival, Amy, Poelzer, Sayra, Cristancho, Don, Eby, Sandy, DeLuca, Jory, Simpson, Emilia, Kangasjarvi, Allia, Karim, Stella, Ng, Megan, Mercia, Irene, Ma, Kaylee, Eady, Sarah, Heath, Farah, Friesen, Julie, Massé, Stéphanie, Beaura, Marie-Claude, Tremblay, Bavenjit, Cheema, Cheryl, Holmes, Cary, Cuncic, Carolyn, Canfield, Heather, Buckley, Laura, Nimmon, Daniel, Ho, Anneke, van Enk, Meredith, Li, Eliot, Rees, David, Harrison, Karen, Mattick, Katherine, Woolf, Lyndal, Parker-Newlyn, Kylie, Mansfield, Tammy, Klassen-Ross, Paul, Winwood, Geoff, Payne, Philippe, Bégin, Christian, Bourdy, Anne, Worthington, Valeria, Akim, Natalie, Loye, Sébastien, Béland, Claire, Hudon, Martine, Bourget, Annie, Ouellet, Isabelle, Gauthier, Sondos, Samandi, Estelle, Chetrit, Saleem, Razack, Kate, Hooton, Seema, Marwaha, Sara, Martel, Arjun, Sharma, Matthew, Strang, Nikita, Singh, Sara, Gerke, Gali, Katznelson, Aida, Ahrari, Pawandeep, Sandhu, Dante, Morra, Sarah, McClennan, David, Wiljer, Rebecca, Charow, Gillian, Strudwick, Allison, Crawford, Émilie, Blais, Thiyake, Rajaratnam, Amanda, Gambin, Jenny, Hardy, Eva, Serhal, Amanda, Stalwick, Regina, Taylor-Gjevre, Pauline, Pan, David, Rojas, Frazer, Howard, David, Tihanyi, Christopher, Jones, Richard, Pittini, Mike, Paget, Joshua, Low, Kathryne, Brockman, Zachary, Urquhart, Malshi, Karunatilake, Greg, Malin, Harold, Bull, Christen, Rachul, Helen, Mawdsley, Benjamin, Collins, Keevin, Bernstein, Ira, Ripstein, Joanne, Hamilton, Juehea (Lucia), Lee, Ben, Shachar, Joanne, Leo, Shayna, Kulman-Lipsey, Leslie, Nickell, Nellie, Perret, David Rojas, Gualdron, Natalie, Marsden, Jenni, Marshall, Jonathan, White, Savannah, Silva, Ashley, Eom, Qian, Shi, Danyal, Saeed, Jeffery, Grab, Patrick, Ciechanski, Deepak, Dath, Stephanie, Scott, Nancy, VanEyk, Eric, Walser, Chris J, Zhang, Michael, Ott, Anna, Mierzwa, Aram, Abbasian, Shirley Xue, Jiang, James, Rutka, Nada, Gawad, Teresa, Ziegler, Alexander, Adibfar, Nawaaz, Nathoo, Ravi, Sidhu, Paula, Veinot, Tarek, Abdelhalim, Mary Jane, Bell, Zac, Feilchenfeld, Umberin, Najeeb, Dominique, Piquette, Shail, Rawal, Rene, Wong, Arno, Kumagai, Ayelet, Kuper, Jennifer, McKay, Sharon, Doucet, Henry, Broekhuyse, Clarissa, Wallace, Claire, Heslop, Mazen, El-Baba, Katherine, Dillon, Kathryn, Corbett, Charles, Yin, Yipeng, Ge, Lara, Varpio, Pamela, McKenzie, Malgorzata, Kaminska, Trina, Fyfe, Cirisse, Stephen, Lisa, Munro, Sonya, Kruger, Lindsay, Mathews, Peyton, Fisher, Maria C, Tan, Sandy, Campbell, Olusegun, Famure, Bronte, Anderson, Angel, Cai, Joseph, Kim, Rishie, Seth, Elizabeth, Wooster, Mallory, Jackman, Jerry, Maniate, Denise, Campbell-Scherer, Melanie, Heatherington, Dayna, Lee-Baggley, Thea, Luig, Guillermina, Noël, Sonja, Wicklum, Angie, Hong, Kulamakan, Kulasegaram, Jeffrey, Cheung, Marguerite, Roy, Nichole, Kain, Theresa, Beesley, Evelyn, Constantin, Mara, Kontopoulos, Patricia, Wade, Armand, Aalamian, Kaif, Pardhan, Christopher, Watling, Linda, Jones, Brent, Thoma, Tim, Chaplin, Adam, Szulewski, Rylan, Egan, Kerry, Wilbur, Erik, Driessen, Fedde, Scheele, Nicole, Kain, Charo, Rodriguez, Emmanuelle, Belanger, Laure, Fiquet, Teresa, Pawlikowska, Sofia, Lopez-Roig, Maria Angeles, Pastor-Mira, François-Xavier, Schweyer, Salvador, Pertusa, Pierre-Paul, Tellier, Melinda, Davis, Janeve, Desy, Sue-Ann, Facchini, Sylvain, Coderre, Christopher, Naugler, Kevin, McLaughlin, David, Ortiz-Paredes, Torsten, Risør, Tamara, Carver, Peter, Nugus, Marie-Hélène, Girouard, Diane, Robert, Caroline, Bell, Julie, Morisset, Alice, Cavanagh, Maria, Hubinette, Martin, Tremblay, Sam, Daniel, Beatriz, Merlos, Émilie, Gosselin, Catherine, Bertholet, Marie-France, Langlois, Boris, Zevin, Mary, Martin, Colleen, Grady, Karen, Smith, Rachael, Morkem, Robyn, Houlden, Richard, Birtwhistle, David, Barber, Gisele, Bourgeois-Law, Diana, Sanchez-Ramirez, Alexander, Singer, Leanne, Kosowan, Alan, Katz, Christine, Polimeni, Parisa, Rezaiefar, Claire, Kendal, Janine Schieck, McKay, Maddie, Venables, Fernanda, Claudio, Clare, Cook, James, Goertzen, Nigel, Ashworth, Delaney, Wiebe, Ed, Jess, Jacqueline, Wagner, Nancy, Hernandez-Ceron, Kyle, Lafreniere, David, Freedman, Aditya, Nidumolu, Matthew, Mancuso, Kent, Hecker, Aliya, Kassam, Kayla, Atchison, Bochra, Kurabi, Hana, Lee, Peter, Steinmetz, Jennifer, MacKenzie, Lori-Ann, Linkins, Karen, McAssey, Robert, Whyte, Kevin, Chien, Lorenzo, Madrazo, Kori, LaDonna, David, Li, Ian, Miao, Anthony, Seto, Zahra, Premji, Eric, Liu, Alexandra, Rocha, Robert, Mcallister, Richard, Conn, Mary, Tully, Mike, Shields, Simon, Kitto, Morag, Paton, Stephanie, Waterman, Lynn, Doan, Madeline, Taylor, Tommaso, Romagnoli, Ilana, Allice, Alison, Baker, Alexandra, Farag, Jesse, Guscott, Michelle, Howard, Margo, Mountjoy, Henry, Siu, X. Catherine, Tong, Isabelle, Boulais, Melanie, Marceau, Vernon, Curran, Nicholas, Fairbridge, Diana, Deacon, Norah, Duggan, Katherine, Stringer, Heidi, Coombs, Steve, Pennell, Susan, Humphrey-Murto, Chris, Watling, Maury, Pinsk, Gillian, Nattress, Roseann, Larstone, Melissa, Tigert, Hilary, Stone, Ruby, Alvi, Peter, Selby, Azadeh, Moaveni, Joyce, Nyhof-Young, Robin, Glicksman, Jin Sheng (Jason), Zhou, RuiQi, Chen, Yu Yang, Feng, Yao, Lu, Clare, Hutchinson, Abdollah, Behzadi, Natalie, Clavel, Ra, Han, Adam, Kaufman, Piero, Tartaro, Maria, Martimianakis, Stacey, Bernstein, Alexandra, Cohen, Sonia, Macfarlane, Anish, Arora, Harman, Sandhu, Jennifer, Brasch, Jamie, Ghossein, Vignesh Shankar, Sethuraman, Frank, Battaglia, Neraj, Manhas, Shankar, Sethuraman, Celina, DeBiasio, Rhiannan, Pinnell, Nikhil, Rastogi, Dax, Bourcier, Brandon, Collins, Stuti, Tanya, Mathieu, Doiron, Natasha, Larivée, Alex, Wong, Marie, Vigneau, Ameer, Jarrar, Victoria, Kulesza, Jelisa, Bradley, Ryan, Wade, Patrick, Holland, Lisa, Liu, Sarah, Burm, Yael, Mayer, Tal, Jarus, Laura, Bulk, George, Belliveau, Christopher, Cook, Michael, Lee, Jennica, Nichols, Laen, Hershler, Ally, Malinowski, Yuval, Jarus-Hakak, Emily, Gresham, Theresa Van Der, Goes, Ian, Scott, Renate, Kahlke, Jackie, Tsang, Ivona, Berger, Abirami, Kirubarajan, Seiwon, Park, Roxanne, Wright, Carmen, Charles, Judith, Marshall, Fok-Han, Leung, Nisha, Kansal, Anvita, Kulkarni, Janice, Lee, Brittany, Graham, Michael, Kruse, Megan, Chu, Sureka, Pavalagantharajah, Jason, Profetto, Albina, Veltman, K. Taneille, Johnson, Alex, Dotto, Aalok, Kumar, Carol-Ann, Courneya, Kelly, Howse, Joshua, Lakoff, Sara, Turcotte, Rosario (Charo), Rodriguez, Kathleen, Rice, Perle, Feldman, Assil, Abda, David-Dan, Nguyen, Sarah, Mecheddal, Marco, Mascarella, Lily, Nguyen, Megan, Thomas, Janelle, Sloychuk, Oksana, Babenko, Olga, Szafran, Kimberley, Duerksen, Sean, Maurice, Kristjan, Mytting, Quinn, Gentles, Alina, Constantin, Warren, Brock, Olusegun, Oyedele, John, Soles, Shelley, Sim, David, Snadden, Stephanie, Gariscsak, Jenna, Lightbody, Bob, Bluman, Brenna, Lynn, Wendy, Graham, Thomas, Heeley, Shabnam, Asghari, Brandon, Tang, Bernard, Ho, Frances, Kilbertus, King, Keely, Susan, Robinson, Rebecca, Malhi, Douglas, Myhre, Carrie, Bernard, Betty, Onyura, Eva, Knifed, Erika, Abner, Nadia, Incardona, Irene, Ying, Frank, Wagner, Risa, Freeman, Louis-Philippe, Thibault-Lemyre, Thuy Mai, Luu, Celine, Huot, Genevieve, Cardinal, Benoit, Carriere, Jan, Marta, Tracy, Moniz, Maryam, Golafshani, Paul, Haidet, Nancy E., Adams, Carolyn, Gaspar, Rebecca, Volpe, Claire De, Boer, Tavis, Apramian, Shannon, Arntfield, Laura Yvonne, Bulk, Gil, Kimel, Nigel, King, Susan, MacDonald, Sarah, LeBlanc, Ross, Walker, David, Taylor, Richard Van, Wylick, Karen, Schultz, Armin, Mortazavi, Kate, Campbell, Andrea, Keesey, Laen, Hershier, Simon, Haney, Paula, Rowland, Doris, Lunardon, Cody, Surgin, Arita, Alija, Julia, Petta, Richard, Yu, Vivian, Tia, Muskaan, Sachdeva, Robert, Paul, Katherine, Ng, Luke, Chen, Isabelle, Gosselin, Samuel, Gatien, Marie, Rocchi, Janet, Cooper, David, Gratzer, Faisal, Islam, Patricia, Gerber, Alexandra, Kuskowski, Kathleen, Scheaffer, Lucas, Wright, Salma, Abumeeiz, Laura, Atiyeh, Emily, Fornwald, Ursula, Ellis, Eseohe, Ojo, Jackie, Roberge-Dao, Monica, Slanik, Bernadette, Nedelec, Cynthia, Perlman, Sara, Saunders, Regina, Husa, Sonja, Wakeling, Andrew, Warren, Donald, Boudreau, Eric, Cassell, Rosa, Lakabi, Sarah, Chibane, Sarah, Silverberg, Kimberly, Miller, Stephanie, Glegg, Jason, Gordon, Henri, Cyr, Sonia, Jalbert, Dominique, Vandal, Nazik, Hammad, Wid, Yaseen, Asia van, Buuren, Marcus, Law, Paul, Chiasson, Louis, Gagnon, Sylvie, Mathieu, Sylvie, Houde, Cécile, Trochet, Nathalie, Bettez, Marie-Josée, Leblanc, Ghislaine, Houde, Ann, Graillon, Evelyne, Cambron-Goulet, Larry, Chambers, Charles, Su, Dorothy, Bakker, Ruzica, Jokic, Mathieu, Bélanger, Luigi, Bouchard, Fanny, Lapointe, Paul, Farand, Sara Mortaz, Hejri, Leila, Naimi, Maria, Merlano, Julie, Bain, Michael, Hirsh, Katina, Zheng, Albert, Vo, Nabil, Sultan, Amanda, Bell, Catherine, Connelly, Allyn, Walsh, Wendy (Wen Qing), Ye, Bradley, Rietze, Lena, Quilty, Christine, Wickens, Misha, Virdee, Victor, Do, Namta, Gupta, Léanne, Roncière, Aimee, Sarti, Franco, Carnevale, Karen, Burns, Peter, Dodek, Taryn, Taylor, Sandra, Deluca, Julie Ann, Vankoughnett, Richard, Cherry, Emily, Field, Deborah, Kopansky-Giles, Judith, Peranson, Laurent, Perrault-Sequeira, Andrew, Appleton, Maria, Mathews, Nicholas, Sequeira, Catherine, Matolcsy, Edmund, Lorens, Luke, Devine, Nina, Nguyen, Andrea, Zumrova, Alan, Ng, Teresa, Green, Gerard, Gormley, Claudi, Perez, Diana, Dolmans

Publikováno v: Canadian Medical Education Journal, Vol 11, Iss 2 (2020)
Canadian Medical Education Journal

Background/Purpose: Physician report cards are an important aspect of outcomes-based practice and education. Therefore, we investigated how data collected from the electronic health record (EHR) could assess emergency medicine (EM) residents' indepen

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7339614f176d9d0205bc0a9964fc9755
https://journalhosting.ucalgary.ca/index.php/cmej/article/view/70081

Discovery and characterization of prolactin neutralizing monoclonal antibodies for the treatment of female-prevalent pain disorders

Autor: Stephanie Maciuba, Gregory D. Bowden, Harrison J. Stratton, Kazimierz Wisniewski, Claudio D. Schteingart, Juan C. Almagro, Philippe Valadon, Joshua Lowitz, Scott M. Glaser, Grace Lee, Mahdi Dolatyari, Edita Navratilova, Frank Porreca, Pierre J.M. Rivière

Publikováno v: mAbs, Vol 15, Iss 1 (2023)

ABSTRACTProlactin (PRL) has recently been demonstrated to elicit female-selective nociceptor sensitization and increase pain-like behaviors in female animals. Here we report the discovery and characterization of first-in-class, humanized PRL neutrali

Externí odkaz: https://doaj.org/article/13a501dc4b6048c599396d77471221c9

No Effect of Added Sugar Consumed at Median American Intake Level on Glucose Tolerance or Insulin Resistance

Autor: Joshua Lowndes, Stephanie S. Sinnett, James M. Rippe

Publikováno v: Nutrients, Vol 7, Iss 10, Pp 8830-8845 (2015)

Excess sugar consumption may promote adverse changes in hepatic and total body insulin resistance. Debate continues over the effects of sugars at more typically consumed levels and whether the identity of the sugar consumed is important. In the prese

Externí odkaz: https://doaj.org/article/03ced939eb7f4cf0a43dc0746f06bc17

The Effect of Normally Consumed Amounts of Sucrose or High Fructose Corn Syrup on Lipid Profiles, Body Composition and Related Parameters in Overweight/Obese Subjects

Autor: Joshua Lowndes, Stephanie Sinnett, Sabrina Pardo, Von T. Nguyen, Kathleen J. Melanson, Zhiping Yu, Britte E. Lowther, James M. Rippe

Publikováno v: Nutrients, Vol 6, Iss 3, Pp 1128-1144 (2014)

The American Heart Association (AHA) has advocated that women and men not consume more than 100 and 150 kcal/day, respectively, from added sugars. These levels are currently exceeded by over 90% of the adult population in the United States. Few data

Externí odkaz: https://doaj.org/article/04e89d7da412410cadd2f033e87768bf