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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Oncohematology</journal-id><journal-title-group><journal-title xml:lang="en">Oncohematology</journal-title><trans-title-group xml:lang="ru"><trans-title>Онкогематология</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1818-8346</issn><issn publication-format="electronic">2413-4023</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">844</article-id><article-id pub-id-type="doi">10.17650/1818-8346-2023-18-3-125-133</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>TREATMENT OF HEMATOLOGICAL MALIGNANCIES IN PATIENTS WITH COVID-19: PRO AND CONTRA</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ЛЕЧЕНИЕ ЗЛОКАЧЕСТВЕННЫХ ЗАБОЛЕВАНИЙ СИСТЕМЫ КРОВИ У ПАЦИЕНТОВ С COVID-19: ЗА И ПРОТИВ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Treatment of oncological and hematological diseases in HIV infection</article-title><trans-title-group xml:lang="ru"><trans-title>Лечение онкологических и гематологических заболеваний при ВИЧ-инфекции</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Lushchevich</surname><given-names>S. V.</given-names></name><name xml:lang="ru"><surname>Лущевич</surname><given-names>С. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>119991</p><p>Build. 2, 8 Trubetskaya St.</p><p>Moscow</p></bio><bio xml:lang="ru"><p>Софья Владимировна Лущевич </p><p>119991</p><p>ул. Трубецкая, 8, стр. 2</p><p>Москва</p></bio><email>sofia.lushchevich@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Litvinov</surname><given-names>V. D.</given-names></name><name xml:lang="ru"><surname>Литвинов</surname><given-names>В. Д.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>119991</p><p>Build. 2, 8 Trubetskaya St.</p><p>Moscow</p></bio><bio xml:lang="ru"><p>119991</p><p>ул. Трубецкая, 8, стр. 2</p><p>Москва</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">I. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)</institution></aff><aff><institution xml:lang="ru">ФГАОУ ВО Первый Московский государственный медицинский университет им. И. М. Сеченова Минздрава России (Сеченовский Университет)</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2023-09-13" publication-format="electronic"><day>13</day><month>09</month><year>2023</year></pub-date><volume>18</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>125</fpage><lpage>133</lpage><history><date date-type="received" iso-8601-date="2023-09-13"><day>13</day><month>09</month><year>2023</year></date><date date-type="accepted" iso-8601-date="2023-09-13"><day>13</day><month>09</month><year>2023</year></date></history><permissions><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://oncohematology.abvpress.ru/ongm/article/view/844">https://oncohematology.abvpress.ru/ongm/article/view/844</self-uri><abstract xml:lang="en"><p>   Oncological and hematological diseases associated with HIV infection continue to cause discussions among foreign and domestic researchers, clinicians, doctors, medical workers. The ongoing world globalization and modernization, environmental degradation have a detrimental effect on the health of citizens, which can be seen in virus mutations, high morbidity and a decrease in the social level in the Russian Federation and in the world. Oncological and hematological diseases associated with HIV infection are growing in the Russian Federation, but scientists do not stop at the results achieved, improving methods, treatment and therapy. As part of this study a statistical analysis of oncological and hematological diseases associated with HIV infection for 3 years (2019–2021) in Russia is carried out in order to trace the percentage of the medicine’s level, treatment’s effectiveness and deaths. A detailed analysis shows the decrease in deaths from HIV infection which pays attention the work of specialists in the Russian Federation.</p><p><bold>   The purpose of this study</bold> is to identify a key method for the treatment of oncological and hematological diseases in HIV infection in Russia.</p><p><bold>   The objective</bold> is to study the effectiveness of existing methods of treatment.</p><p>   Research methods – clinical, functional, microbiological and morphological.</p></abstract><trans-abstract xml:lang="ru"><p>   Онкологические и гематологические заболевания при вирусе иммунодефицита человека (ВИЧ) продолжают вызывать дискуссии у зарубежных и отечественных исследователей, клиницистов, медицинских работников. Мировая глобализация и модернизация, ухудшение экологической обстановки оказывают пагубное влияние на здоровье граждан, что прослеживается в мутациях вируса, высокой заболеваемости и снижении социального уровня в России и в мире в целом. В России заболеваемость злокачественными новообразованиями и гематологической патологией при ВИЧ-инфекции растет. Ученые не останавливаются на достигнутых результатах, совершенствуя методы лечения. Мы провели статистический анализ онкологических и гематологических заболеваний при ВИЧ-инфекции за 3 года (2019–2021) в России с целью оценить уровень оказания медицинской помощи по показателю летальности. Анализ показал снижение числа летальных исходов при ВИЧ-инфекции, что указывает на эффективность оказания онкологической медицинской помощи в России.</p><p><bold>   Целью настоящего исследования</bold> было выявление ключевого метода терапии онкологических и гематологических заболеваний при ВИЧ-инфекции в России.</p><p><bold>   Задача</bold> – изучение эффективности существующих методов лечения.</p><p>   Применялись клинические, функциональные, микробиологические и морфологические методы исследования.</p></trans-abstract><kwd-group xml:lang="en"><kwd>oncology</kwd><kwd>hematology</kwd><kwd>HIV infection</kwd><kwd>anemia</kwd><kwd>surgical method</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>онкология</kwd><kwd>гематология</kwd><kwd>ВИЧ-инфекция</kwd><kwd>анемия</kwd><kwd>хирургический метод</kwd></kwd-group><funding-group><funding-statement xml:lang="en">The work was performed without external funding</funding-statement><funding-statement xml:lang="ru">Работа выполнена без спонсорской поддержки</funding-statement></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Ptushkin V.V. Anemias and iron deficiency in cancer patients. Klinicheskaya onkogematologiya = Clinical Oncohematology 2013;6(1):91–6. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Птушкин В.В. Анемии и дефицит железа у онкологических больных. Клиническая онкогематология 2013;6(1):91–6.</mixed-citation></citation-alternatives></ref><ref id="B2"><label>2.</label><citation-alternatives><mixed-citation xml:lang="en">State of oncological care in Russia in 2021. Eds.: А.D. Kaprin, V.V. Starinskiy, A.O. Shachzadova. Moscow: MNIOI im. P. A. Gertsena – filial FGBU “NMITS radiologii” Minzdrava Rossii, 2022. 239 p. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Состояние онкологической помощи населению России в 2021 году. Под ред. А.Д. Каприна, В.В. Старинского, А.О. Шахзадовой. М.: МНИОИ им. П. А. Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава России, 2022. 239 с.</mixed-citation></citation-alternatives></ref><ref id="B3"><label>3.</label><citation-alternatives><mixed-citation xml:lang="en">State of oncological care in Russia in 2020. Eds.: А.D. Kaprin, V.V. Starinskiy, A.O. Shachzadova. Moscow: MNIOI im. P. A. Gertsena – filial FGBU “NMITS radiologii” Minzdrava Rossii, 2021. 239 p. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Состояние онкологической помощи населению России в 2020 году. Под ред. А.Д. Каприна, В.В. Старинского, А.О. Шахзадовой. М.: МНИОИ им. П. А. Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава России, 2021. 239 с.</mixed-citation></citation-alternatives></ref><ref id="B4"><label>4.</label><citation-alternatives><mixed-citation xml:lang="en">– F. Cancer (oncological diseases). ZDRAV. EXPERT. Medtech portal. (In Russ.). Available at: https://zdrav.expert/index.php/%D0%A1%D1%82%D0%B0%D1%82%D1%8C%D1%8F:%D0%A0%D0%B0%D0%BA_(%D0%BE%D0%BD%D0%BA%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F)</mixed-citation><mixed-citation xml:lang="ru">Рак (онкологические заболевания). ZDRAV. EXPERT. Медтехпортал. Доступно по: https://zdrav.expert/index.php/%D0%A1%D1%82%D0%B0%D1%82%D1%8C%D1%8F:%D0%A0%D0%B0%D0%BA_(%D0%BE%D0%BD%D0%BA%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F).</mixed-citation></citation-alternatives></ref><ref id="B5"><label>5.</label><citation-alternatives><mixed-citation xml:lang="en">Pivnik A.V., Seregin N.V., Parkhomenko Yu.G. et al. Lymphomas in HIV-infected patients: literature review. Klinicheskaya onkogematologiya = Clinical Oncohematology 2014;7(3):264–77. (In Russ.)</mixed-citation><mixed-citation xml:lang="ru">Пивник А.В., Туманова М.В., Серегин Н.В. и др. Лимфомы у ВИЧ-инфицированных больных : обзор литературы. Клиническая онкогематология 2014;7(3):264–77</mixed-citation></citation-alternatives></ref><ref id="B6"><label>6.</label><citation-alternatives><mixed-citation xml:lang="en">Kaprin A.D., Voronin E.E., Rassokhin V.V. et al. Malignant neoplasms associated with HIV infection. Problems and solutions (problem outline). Sovremennaya onkologiya = Journal of Modern Oncology 2021;23(3):502–7. (In Russ.). DOI: 10.26442/18151434.2021.3.201041</mixed-citation><mixed-citation xml:lang="ru">Каприн А.Д., Воронин Е.Е., Рассохин В.В. и др. Злокачественные новообразования, ассоциированные с ВИЧ-инфекцией. Проблемы и пути решения (проблемный очерк). Современная онкология 2021;23(3):502–7. DOI: 10.26442/18151434.2021.3.201041</mixed-citation></citation-alternatives></ref><ref id="B7"><label>7.</label><citation-alternatives><mixed-citation xml:lang="en">Babicheva L.G. Review of the 1<sup>st</sup> Conference “Diagnosis and treatment of oncological and hematological diseases in HIV infection. Confident in the present – without fear in the future”. Onkogematologiya = Oncohematology 2022;17(4):138–57. (In Russ.). DOI: 10.17650/1818-8346-2022-17-4-138-157</mixed-citation><mixed-citation xml:lang="ru">Бабичева Л.Г. Обзор I конференции «Диагностика и лечение онкологических и гематологических заболеваний при ВИЧ-инфекции. Уверенное настоящее – без страха в будущее». Онкогематология 2022;17(4):138–57. DOI: 10.17650/1818-8346-2022-17-4-138-157</mixed-citation></citation-alternatives></ref><ref id="B8"><label>8.</label><citation-alternatives><mixed-citation xml:lang="en">Inoyatova F.I., Kadyrkhodjaeva Kh.M., Inogamova G.Z. et al. Some aspects of the transport system of iron metabolism depending on the degree of iron overload syndrome in children with chronic hepatitis B. Detskie infektsii = Children’s Infections 2019;18(1): 17–21. (In Russ.). DOI: 10.22627/2072-8107-2019-18-1-17-21</mixed-citation><mixed-citation xml:lang="ru">Иноятова Ф.И., Кадырходжаева Х.М., Иногамова Г.З. и др. Некоторые аспекты транспортной системы метаболизма железа в зависимости от степени синдрома перегрузки железом у детей с хроническим гепатитом В. Детские инфекции 2019;18(1):17–21. DOI: 10.22627/2072-8107-2019-18-1-17-21</mixed-citation></citation-alternatives></ref><ref id="B9"><label>9.</label><citation-alternatives><mixed-citation xml:lang="en">Rassokhin V.V., Nekrasova A.V., Mikhailova N.B. Malignant tumors in HIV patients. Epidemiology, pathogenesis, and variability. Part 1. VICH-infektsiya i immunosupressii = HIV Infection and Immunosuppressive Disorders 2017;9(1):7–21. (In Russ.) DOI: 10.22328/2077-9828-2017-9-1-7-21</mixed-citation><mixed-citation xml:lang="ru">Рассохин В.В., Некрасова А.В., Михайлова Н.Б. Злокачественные опухоли при ВИЧ-инфекции. Эпидемиология, патогенез, формы опухолей. Часть 1. ВИЧ-инфекция и иммуносупрессии 2017;9(1):7–21. DOI: 10.22328/2077-9828-2017-9-1-7-21</mixed-citation></citation-alternatives></ref><ref id="B10"><label>10.</label><citation-alternatives><mixed-citation xml:lang="en">Chelysheva E.Yu., Lazareva O.V., Turkina A.G. et al. Observation in a treatment-free remission in chronic myeloid leukemia patients with a stable deep molecular response in the Russian portion of the international multicenter population based study EUTOS PBS. Gematologiya i transfuziologiya = Russian Journal of Hematology and Transfusiology 2022;67(3):351–66. (In Russ.). DOI: 10.35754/0234-5730-2022-67-3-351-366</mixed-citation><mixed-citation xml:lang="ru">Челышева Е.Ю., Лазарева О.В., Туркина А.Г. и др. Возможность наблюдения в ремиссии без лечения больных хроническим миелолейкозом со стабильным глубоким молекулярным ответом по данным российской части международного многоцентрового популяционного исследования EUTOS PBS. Гематология и трансфузиология 2022;67(3):351–66. DOI: 10.35754/0234-5730-2022-67-3-351-366</mixed-citation></citation-alternatives></ref><ref id="B11"><label>11.</label><mixed-citation>Burg G., Kempf W., Kazakov D.V. et al. Pyogenic lymphoma of the skin: A peculiar variant of primary cutaneous neutrophil-rich CD30+ anaplastic large-cell lymphoma. Clinicopathological study of four cases and review of the literature. Br J Dermatol 2003;148(3):580–6. DOI: 10.1046/j.1365-2133.2003.05248.x</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Castillo J., Pantanowitz L., Dezube B.J. HIV-associated plasmablastic lymphoma: lessons learned from 112 published cases. Am J Hematol 2008;83(10):804–9. DOI: 10.1002/ajh.21250</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Cesarman E. Gammaherpesvirus and lymphoproliferative disorders in immunocompromised patients. Cancer Letters 2011;305(2): 163–74. DOI: 10.1016/j.canlet.2011.03.003</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Chang E., Sabichi A.L., Kramer J.R. et al. Nivolumab treatment for cancers in the HIV-infected population. J Immunother 2018;41(8):379–83. DOI: 10.1097/CJI.0000000000000240</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Chen Y.B., Rahemtullah A., Hochberg E. Primary effusion lymphoma. Oncologist 2007;12(5):569–76. DOI: 10.1634/theoncologist.12-5-569</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Guech-Ongey M., Simard E.P., Anderson W.F. et al. AIDS-related Burkitt lymphoma in the United States: what do age and CD4 lymphocyte patterns tell us about etiology and/or biology? Blood 2010;116(25):5600–4. DOI: 10.1182/blood-2010-03-275917</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Colomo L., Loong F., Rives S. et al. Diffuse large B-cell lymphomas with plasmablastic differentiation represent a heterogeneous group of disease entities. Am J Surg Pathol 2004;28(6):736–47. DOI: 10.1097/01.pas.0000126781.87158.e3</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Dupin N., Diss T.L., Kellam P. HHV-8 is associated with a plasmablastic variant of Castleman disease that is linked to HHV-8-positive plasmablastic lymphoma. Blood 2000;95(4):1406–12.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Guihot A., Marcelin A.G., Massiani M.A. et al. Drastic decrease of the HIV reservoir in a patient treated with Nivolumab for lung cancer. Ann Oncol 2018;29(2):517–8. DOI: 10.1093/annonc/mdx696</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Kolesnikova M.A., Nechunaeva I.N., Popova M.O., Pospelova T.I. Epidemiological features and efficacy of treatment in HIVassociated lymphomas. Available at: https://cyberleninka.ru/article/n/epidemiological-features-and-efficacy-of-treatment-in-hiv-associated-lymphomas?ysclid=lmhgbhxtdz42198242.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Rezk S.A., Weiss L.M. Epstein–Barr virus-associated lymphoproliferative disorders. Hum Pathol 2007;38(9):1293–304. DOI: 10.1016/j.humpath.2007.05.020</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Rodrigues L.K.E., Klencke B.J., Vin-Christian K. et al. Altered clinical course of malignant melanoma in HIV-positive patients. Arch Dermatol 2002;138(6):765–70. DOI: 10.1001/archderm.138.6.765</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Sandoval-Sus J.D., Mogollon-Duffo F., Patel A. et al. Nivolumab as salvage treatment in a patient with HIV-related relapsed/refractory Hodgkin lymphoma and liver failure with encephalopathy. J Immunother Cancer 2017;5:49. DOI: 10.1186/s40425-017-0252-3</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Simonelli C., Spina M., Cinelli R. et al. Clinical features and outcome of primary effusion lymphoma in HIV-infected patients: a single-institution study. J Clin Oncol 2003;21(21):3948–54. DOI: 10.1200/JCO.2003.06.013</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Spina M., Berretta M., Tirelli U. Hodgkin’s disease in HIV. Hematol Oncol Clin North Am 2003;17(3):843–58. DOI: 10.1016/s0889-8588(03)00046-7</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Wilkins K., Turner R., Dolev J.C. et al. Cutaneous malignancy and human immunodeficiency virus disease. J Am Acad Dermatol 2006;54(2):189–206. DOI: 10.1016/j.jaad.2004.11.060</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Talat N., Schulte K.M. Castleman’s disease: systematic analysis of 416 patients from the literature. Oncologist 2011;16(9):1316–24. DOI: 10.1634/theoncologist.2011-0075</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Vaccher E., Spina M., Tirelli U. Clinical aspects and management of Hodgkin’s disease and other tumours in HIV-infected individuals. Eur J Cancer 2001;37(10):1306–15. DOI: 10.1016/s0959-8049(01)00122-8</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Mounier N., Spina M., Spano J.P. Hodgkin lymphoma in HIV positive patients. Curr HIV Res 2010;8(2):141–6. DOI: 10.2174/157016210790442704</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Rogacheva Y.A., Popova M.O., Nekrasova A.V. et al. Nivolumab treatment in patients with relapsed/refractory HIV-related lymphomas. Abstracts Clinical practice (including toxicities) 2018;29(Suppl_10):x20–1. DOI: 10.1093/annonc/mdy486.011. Available at: https://www.annalsofoncology.org/article/S0923-7534(19)32673-0/fulltext.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Popova M.O., Rogacheva Y.A., Nekrasova A.V. et al. Autologous hematopoietic cell transplantation for HIV-related lymphoma: results of a single center (CIC725) matched case-control study. Cell Ther Transplant 2017;6(4):42–51. DOI: 10.18620/ctt-1866-8836-2017-6-4-42-51</mixed-citation></ref><ref id="B32"><label>32.</label><citation-alternatives><mixed-citation xml:lang="en">Daminov T.A., Tuychiev L.N., Khudaykulova G.K., Rakhmatullaeva S.B. Etiological structure of anemia in HIVinfected children. Detskie infektsii = Children’s Infections 2019;18(2):20–3. (In Russ.) DOI: 10.22627/2072-8107-2019-18-2-20-23</mixed-citation><mixed-citation xml:lang="ru">Даминов Т.А., Туйчиев Л.Н., Худайкулова Г.К., Рахматуллаева Ш.Б. Этиологическая структура анемий у ВИЧ-инфицированных детей. Детские инфекции 2019;18(2):20–3. DOI: 10.22627/2072-8107-2019-18-2-20-23</mixed-citation></citation-alternatives></ref><ref id="B33"><label>33.</label><citation-alternatives><mixed-citation xml:lang="en">Kulibaba Т.G., Pchelin I.Yu., Slepykh L.A. Characteristic features of anemic syndrome in oncological patients. Juvenis Scientia 2018;(9):10–6. (In Russ.). DOI: 10.32415/jscientia.2018.09.02.</mixed-citation><mixed-citation xml:lang="ru">Кулибаба Т.Г., Пчелин И.Ю., Слепых Л.А. Особенности анемического синдрома у онкологических пациентов. Juvenis Scientia 2018;(9):10–6. DOI: 10.32415/jscientia.2018.09.02</mixed-citation></citation-alternatives></ref><ref id="B34"><label>34.</label><citation-alternatives><mixed-citation xml:lang="en">Moiseev S.V. Capacities of somatostatin analogues to treat castration-resistant prostate cancer. Onkologiya. Zhurnal im. P. A. Gertsena = P. A. Herzen Journal of Oncology 2012;1(1):77–82. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Моисеев С.В. Анемия при онкологических заболеваниях. Онкология. Журнал им. П. А. Герцена 2012;1(1):77–82.</mixed-citation></citation-alternatives></ref></ref-list></back></article>
