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IL‐1 gene polymorphism and smoking as risk factors for peri‐implant bone loss in a well‐maintained population

Identifieur interne : 005347 ( Istex/Corpus ); précédent : 005346; suivant : 005348

IL‐1 gene polymorphism and smoking as risk factors for peri‐implant bone loss in a well‐maintained population

Auteurs : Andreas Feloutzis ; Niklaus P. Lang ; Maurizio S. Tonetti ; Walter Bürgin ; Urs Br Gger ; Daniel Buser ; Gordon W. Duff ; Kenneth S. Kornman

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RBID : ISTEX:A6A1DF5059B6725BF84877380EEE059CFCB44A06

English descriptors

Abstract

Abstract: The aim of the present study was (i) to investigate the relation between specific interleukin‐1 (IL‐1) gene polymorphisms and peri‐implant bone loss at osseointegrated ITI® dental implants and (ii) to explore the association between these allelic variants of the IL‐1 gene complex and peri‐implant mucosal inflammation, in both smoking and non‐smoking individuals. A sample of 90 consecutive Caucasian patients (aged 33–88 years), treated with at least one ITI‐implant participated in this retrospective investigation. Standardized periapical radiographs were taken after prosthetic rehabilitation (133.6 days, SD 136.9 days) and at the time of the re‐examination, on average 5.6 years (SD 2.5 years) thereafter. The radiographs were analyzed by a calibrated examiner for changes in peri‐implant bone levels. The examiner was blind with respect to clinical parameters and IL‐1 status. The distance between the implant shoulder and the first visible bone‐implant contact (DIB) at the respective time points were measured using a computerized method. The absolute bone level difference during the years of service (ABL) and the annual bone loss (ΔBL/year) were calculated for all the implants. Percentages of full mouth bleeding on probing (BOP), as well as of BOP calculated separately for teeth and implants, were determined for all visits and averaged for the entire observation period. Out of the total patient sample, there were 14 heavy smokers (= 20 cigarettes/day), 14 moderate smokers (5–19 cigarettes/day), 23 previous smokers (smoking cessation > 5 years) and 39 non‐smokers. Twenty‐eight (31.11%) patients were IL‐1 genotype positive. Upon stratification for smoking status, significant differences were found for the variables ABL (P < 0.04, U‐test) and ΔBL/year (P < 0.04, U‐test) between non‐smokers and heavy smokers for the IL‐1 genotype positive group but not for the IL‐1 genotype negative group. Moreover, significant differences in ABL (P < 0.04, U‐test) and ΔBL/year (P < 0.04, U‐test) were identified between former smokers and heavy smokers for the IL‐1 genotype positive group. The differences in inflammatory parameters (BOP) did not reach statistical significance.

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DOI: 10.1034/j.1600-0501.2003.140102.x

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ISTEX:A6A1DF5059B6725BF84877380EEE059CFCB44A06

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<name sortKey="Duff, Gordon W" sort="Duff, Gordon W" uniqKey="Duff G" first="Gordon W." last="Duff">Gordon W. Duff</name>
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<mods:affiliation>Authors' affiliations: Andreas Feloutzis, Niklaus P. Lang, Walter Bürgin, Urs Brägger,Department of Periodontology and Fixed Prosthodontics, University of Berne, SwitzerlandAndreas Feloutzis,Department of Fixed and Removable Prosthodontics and Dental Materials Research, University of Zurich, SwitzerlandMaurizio S. Tonetti,Department of Periodontology, Eastman Dental Institute, University College London, UKDaniel Buser,Department of Oral Surgery, University of Berne, SwitzerlandGordon W. Duff,Division of Genomic Medicine, University of Sheffield, UKKenneth S. KornmanInterleukin Genetics, Inc., Waltham, MA, USA</mods:affiliation>
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<title level="j" type="main">Clinical Oral Implants Research</title>
<title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title>
<idno type="ISSN">0905-7161</idno>
<idno type="eISSN">1600-0501</idno>
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<term>Absolute bone level difference</term>
<term>Absolute bone loss</term>
<term>Adult periodontitis</term>
<term>Allele</term>
<term>Allelic variants</term>
<term>Annual bone loss</term>
<term>Annual bone loss rate</term>
<term>Berne</term>
<term>Bone gain</term>
<term>Bone levels</term>
<term>Bone loss</term>
<term>Bone loss table</term>
<term>Buser</term>
<term>Chronic periodontitis</term>
<term>Cigarette smoking</term>
<term>Clin</term>
<term>Clinical parameters</term>
<term>Clinical periodontology</term>
<term>Cohort</term>
<term>Composite genotype</term>
<term>Constant band</term>
<term>Current smokers</term>
<term>Dental implants</term>
<term>Dentistry research</term>
<term>Duff</term>
<term>Early failures</term>
<term>Entire observation period</term>
<term>Entre</term>
<term>European journal</term>
<term>Feloutzis</term>
<term>Former smokers</term>
<term>Full mouth</term>
<term>Fumadores</term>
<term>Fumadores intensos</term>
<term>Gene cluster</term>
<term>Gene polymorphism</term>
<term>Gene polymorphisms</term>
<term>Genotype</term>
<term>Genotype groups</term>
<term>Genotype patient groups</term>
<term>Genotype status</term>
<term>Gingival crevicular</term>
<term>Gros fumeurs</term>
<term>Groupe positif</term>
<term>Heavy smokers</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant failure</term>
<term>Implant failures</term>
<term>Implant loss</term>
<term>Implant shoulder</term>
<term>Implants research</term>
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<term>International journal</term>
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<term>Linkage disequilibrium</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Median</term>
<term>Median values</term>
<term>Moderate smokers</term>
<term>Negative bone loss values</term>
<term>Negative patients</term>
<term>Occlusal overload</term>
<term>Oral impl</term>
<term>Oral implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegrated itia</term>
<term>Other subgroups</term>
<term>Para</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal research</term>
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<term>Periodontology</term>
<term>Perte osseuse</term>
<term>Polymorphism</term>
<term>Positiven gruppe</term>
<term>Present patient cohort</term>
<term>Present study</term>
<term>Prospective study</term>
<term>Prosthetic</term>
<term>Prosthetic loading</term>
<term>Radiograph</term>
<term>Radiographic bone loss</term>
<term>Restriction control site</term>
<term>Risk factor</term>
<term>Risk factors</term>
<term>Single fragment</term>
<term>Smoker</term>
<term>Smoking</term>
<term>Smoking habits</term>
<term>Smoking status</term>
<term>Smoking subgroups</term>
<term>Starken rauchern</term>
<term>Tissue destruction</term>
<term>Tonetti</term>
<term>Visible contact</term>
<term>Wilson nunn</term>
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<term>Absolute bone level difference</term>
<term>Absolute bone loss</term>
<term>Adult periodontitis</term>
<term>Allele</term>
<term>Allelic variants</term>
<term>Annual bone loss</term>
<term>Annual bone loss rate</term>
<term>Berne</term>
<term>Bone gain</term>
<term>Bone levels</term>
<term>Bone loss</term>
<term>Bone loss table</term>
<term>Buser</term>
<term>Chronic periodontitis</term>
<term>Cigarette smoking</term>
<term>Clin</term>
<term>Clinical parameters</term>
<term>Clinical periodontology</term>
<term>Cohort</term>
<term>Composite genotype</term>
<term>Constant band</term>
<term>Current smokers</term>
<term>Dental implants</term>
<term>Dentistry research</term>
<term>Duff</term>
<term>Early failures</term>
<term>Entire observation period</term>
<term>Entre</term>
<term>European journal</term>
<term>Feloutzis</term>
<term>Former smokers</term>
<term>Full mouth</term>
<term>Fumadores</term>
<term>Fumadores intensos</term>
<term>Gene cluster</term>
<term>Gene polymorphism</term>
<term>Gene polymorphisms</term>
<term>Genotype</term>
<term>Genotype groups</term>
<term>Genotype patient groups</term>
<term>Genotype status</term>
<term>Gingival crevicular</term>
<term>Gros fumeurs</term>
<term>Groupe positif</term>
<term>Heavy smokers</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant failure</term>
<term>Implant failures</term>
<term>Implant loss</term>
<term>Implant shoulder</term>
<term>Implants research</term>
<term>Inclusion criteria</term>
<term>International journal</term>
<term>Interquartile ranges</term>
<term>Intraexaminer reproducibility</term>
<term>Itia</term>
<term>Kornman</term>
<term>Lang</term>
<term>Linkage disequilibrium</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Median</term>
<term>Median values</term>
<term>Moderate smokers</term>
<term>Negative bone loss values</term>
<term>Negative patients</term>
<term>Occlusal overload</term>
<term>Oral impl</term>
<term>Oral implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegrated itia</term>
<term>Other subgroups</term>
<term>Para</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal research</term>
<term>Periodontitis</term>
<term>Periodontology</term>
<term>Perte osseuse</term>
<term>Polymorphism</term>
<term>Positiven gruppe</term>
<term>Present patient cohort</term>
<term>Present study</term>
<term>Prospective study</term>
<term>Prosthetic</term>
<term>Prosthetic loading</term>
<term>Radiograph</term>
<term>Radiographic bone loss</term>
<term>Restriction control site</term>
<term>Risk factor</term>
<term>Risk factors</term>
<term>Single fragment</term>
<term>Smoker</term>
<term>Smoking</term>
<term>Smoking habits</term>
<term>Smoking status</term>
<term>Smoking subgroups</term>
<term>Starken rauchern</term>
<term>Tissue destruction</term>
<term>Tonetti</term>
<term>Visible contact</term>
<term>Wilson nunn</term>
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<div type="abstract">Abstract: The aim of the present study was (i) to investigate the relation between specific interleukin‐1 (IL‐1) gene polymorphisms and peri‐implant bone loss at osseointegrated ITI® dental implants and (ii) to explore the association between these allelic variants of the IL‐1 gene complex and peri‐implant mucosal inflammation, in both smoking and non‐smoking individuals. A sample of 90 consecutive Caucasian patients (aged 33–88 years), treated with at least one ITI‐implant participated in this retrospective investigation. Standardized periapical radiographs were taken after prosthetic rehabilitation (133.6 days, SD 136.9 days) and at the time of the re‐examination, on average 5.6 years (SD 2.5 years) thereafter. The radiographs were analyzed by a calibrated examiner for changes in peri‐implant bone levels. The examiner was blind with respect to clinical parameters and IL‐1 status. The distance between the implant shoulder and the first visible bone‐implant contact (DIB) at the respective time points were measured using a computerized method. The absolute bone level difference during the years of service (ABL) and the annual bone loss (ΔBL/year) were calculated for all the implants. Percentages of full mouth bleeding on probing (BOP), as well as of BOP calculated separately for teeth and implants, were determined for all visits and averaged for the entire observation period. Out of the total patient sample, there were 14 heavy smokers (= 20 cigarettes/day), 14 moderate smokers (5–19 cigarettes/day), 23 previous smokers (smoking cessation > 5 years) and 39 non‐smokers. Twenty‐eight (31.11%) patients were IL‐1 genotype positive. Upon stratification for smoking status, significant differences were found for the variables ABL (P < 0.04, U‐test) and ΔBL/year (P < 0.04, U‐test) between non‐smokers and heavy smokers for the IL‐1 genotype positive group but not for the IL‐1 genotype negative group. Moreover, significant differences in ABL (P < 0.04, U‐test) and ΔBL/year (P < 0.04, U‐test) were identified between former smokers and heavy smokers for the IL‐1 genotype positive group. The differences in inflammatory parameters (BOP) did not reach statistical significance.</div>
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<hi rend="bold">Abstract:</hi>
The aim of the present study was (i) to investigate the relation between specific interleukin‐1 (IL‐1) gene polymorphisms and peri‐implant bone loss at osseointegrated ITI
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dental implants and (ii) to explore the association between these allelic variants of the IL‐1 gene complex and peri‐implant mucosal inflammation, in both smoking and non‐smoking individuals. A sample of 90 consecutive Caucasian patients (aged 33–88 years), treated with at least one ITI‐implant participated in this retrospective investigation. Standardized periapical radiographs were taken after prosthetic rehabilitation (133.6 days, SD 136.9 days) and at the time of the re‐examination, on average 5.6 years (SD 2.5 years) thereafter. The radiographs were analyzed by a calibrated examiner for changes in peri‐implant bone levels. The examiner was blind with respect to clinical parameters and IL‐1 status. The distance between the implant shoulder and the first visible bone‐implant contact (DIB) at the respective time points were measured using a computerized method. The absolute bone level difference during the years of service (ABL) and the annual bone loss (ΔBL/year) were calculated for all the implants. Percentages of full mouth bleeding on probing (BOP), as well as of BOP calculated separately for teeth and implants, were determined for all visits and averaged for the entire observation period. Out of the total patient sample, there were 14 heavy smokers (= 20 cigarettes/day), 14 moderate smokers (5–19 cigarettes/day), 23 previous smokers (smoking cessation > 5 years) and 39 non‐smokers. Twenty‐eight (31.11%) patients were IL‐1 genotype positive. Upon stratification for smoking status, significant differences were found for the variables ABL (
<hi rend="italic">P</hi>
 < 0.04,
<hi rend="italic">U</hi>
‐test) and ΔBL/year (
<hi rend="italic">P</hi>
 < 0.04,
<hi rend="italic">U</hi>
‐test) between non‐smokers and heavy smokers for the IL‐1 genotype positive group but not for the IL‐1 genotype negative group. Moreover, significant differences in ABL (
<hi rend="italic">P</hi>
 < 0.04,
<hi rend="italic">U</hi>
‐test) and ΔBL/year (
<hi rend="italic">P</hi>
 < 0.04,
<hi rend="italic">U</hi>
‐test) were identified between former smokers and heavy smokers for the IL‐1 genotype positive group. The differences in inflammatory parameters (BOP) did not reach statistical significance.</p>
<p>This study suggests that in heavy cigarette smokers, carriage of a functionally significant IL‐1 gene complex polymorphism is associated with an increased risk for peri‐implant bone loss following prosthetic reconstruction and during the supportive periodontal care phase of the treatment.</p>
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<correspondenceTo> 
Dr. med. dent. A. Feloutzis 
University of Berne 
School of Dental Medicine 
Freiburgstrasse 7 
CH‐3010 Berne 
Switzerland 
Tel.: + 41 031 632 2589, Fax: + 41 031 632 4915 
e‐mail:
<email>perio@zmk.unibe.ch</email>
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<b>Authors' affiliations:</b>
<i>Andreas Feloutzis, Niklaus P. Lang, Walter Bürgin, Urs Brägger,</i>
Department of Periodontology and Fixed Prosthodontics, University of Berne, Switzerland
<i>Andreas Feloutzis,</i>
Department of Fixed and Removable Prosthodontics and Dental Materials Research, University of Zurich, Switzerland
<i>Maurizio S. Tonetti,</i>
Department of Periodontology, Eastman Dental Institute, University College London, UK
<i>Daniel Buser,</i>
Department of Oral Surgery, University of Berne, Switzerland
<i>Gordon W. Duff,</i>
Division of Genomic Medicine, University of Sheffield, UK
<i>Kenneth S. Kornman</i>
Interleukin Genetics, Inc., Waltham, MA, USA</unparsedAffiliation>
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<p>
<b>Abstract:</b>
The aim of the present study was (i) to investigate the relation between specific interleukin‐1 (IL‐1) gene polymorphisms and peri‐implant bone loss at osseointegrated ITI
<sup>®</sup>
dental implants and (ii) to explore the association between these allelic variants of the IL‐1 gene complex and peri‐implant mucosal inflammation, in both smoking and non‐smoking individuals. A sample of 90 consecutive Caucasian patients (aged 33–88 years), treated with at least one ITI‐implant participated in this retrospective investigation. Standardized periapical radiographs were taken after prosthetic rehabilitation (133.6 days, SD 136.9 days) and at the time of the re‐examination, on average 5.6 years (SD 2.5 years) thereafter. The radiographs were analyzed by a calibrated examiner for changes in peri‐implant bone levels. The examiner was blind with respect to clinical parameters and IL‐1 status. The distance between the implant shoulder and the first visible bone‐implant contact (DIB) at the respective time points were measured using a computerized method. The absolute bone level difference during the years of service (ABL) and the annual bone loss (ΔBL/year) were calculated for all the implants. Percentages of full mouth bleeding on probing (BOP), as well as of BOP calculated separately for teeth and implants, were determined for all visits and averaged for the entire observation period. Out of the total patient sample, there were 14 heavy smokers (= 20 cigarettes/day), 14 moderate smokers (5–19 cigarettes/day), 23 previous smokers (smoking cessation > 5 years) and 39 non‐smokers. Twenty‐eight (31.11%) patients were IL‐1 genotype positive. Upon stratification for smoking status, significant differences were found for the variables ABL (
<i>P</i>
 < 0.04,
<i>U</i>
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<i>P</i>
 < 0.04,
<i>U</i>
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<i>P</i>
 < 0.04,
<i>U</i>
‐test) and ΔBL/year (
<i>P</i>
 < 0.04,
<i>U</i>
‐test) were identified between former smokers and heavy smokers for the IL‐1 genotype positive group. The differences in inflammatory parameters (BOP) did not reach statistical significance.</p>
<p>This study suggests that in heavy cigarette smokers, carriage of a functionally significant IL‐1 gene complex polymorphism is associated with an increased risk for peri‐implant bone loss following prosthetic reconstruction and during the supportive periodontal care phase of the treatment.</p>
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<namePart type="given">Kenneth S.</namePart>
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<affiliation>Authors' affiliations: Andreas Feloutzis, Niklaus P. Lang, Walter Bürgin, Urs Brägger,Department of Periodontology and Fixed Prosthodontics, University of Berne, SwitzerlandAndreas Feloutzis,Department of Fixed and Removable Prosthodontics and Dental Materials Research, University of Zurich, SwitzerlandMaurizio S. Tonetti,Department of Periodontology, Eastman Dental Institute, University College London, UKDaniel Buser,Department of Oral Surgery, University of Berne, SwitzerlandGordon W. Duff,Division of Genomic Medicine, University of Sheffield, UKKenneth S. KornmanInterleukin Genetics, Inc., Waltham, MA, USA</affiliation>
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<placeTerm type="text">Oxford, UK</placeTerm>
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<dateIssued encoding="w3cdtf">2003-02</dateIssued>
<edition>Accepted 12 August 2002</edition>
<copyrightDate encoding="w3cdtf">2003</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract>Abstract: The aim of the present study was (i) to investigate the relation between specific interleukin‐1 (IL‐1) gene polymorphisms and peri‐implant bone loss at osseointegrated ITI® dental implants and (ii) to explore the association between these allelic variants of the IL‐1 gene complex and peri‐implant mucosal inflammation, in both smoking and non‐smoking individuals. A sample of 90 consecutive Caucasian patients (aged 33–88 years), treated with at least one ITI‐implant participated in this retrospective investigation. Standardized periapical radiographs were taken after prosthetic rehabilitation (133.6 days, SD 136.9 days) and at the time of the re‐examination, on average 5.6 years (SD 2.5 years) thereafter. The radiographs were analyzed by a calibrated examiner for changes in peri‐implant bone levels. The examiner was blind with respect to clinical parameters and IL‐1 status. The distance between the implant shoulder and the first visible bone‐implant contact (DIB) at the respective time points were measured using a computerized method. The absolute bone level difference during the years of service (ABL) and the annual bone loss (ΔBL/year) were calculated for all the implants. Percentages of full mouth bleeding on probing (BOP), as well as of BOP calculated separately for teeth and implants, were determined for all visits and averaged for the entire observation period. Out of the total patient sample, there were 14 heavy smokers (= 20 cigarettes/day), 14 moderate smokers (5–19 cigarettes/day), 23 previous smokers (smoking cessation > 5 years) and 39 non‐smokers. Twenty‐eight (31.11%) patients were IL‐1 genotype positive. Upon stratification for smoking status, significant differences were found for the variables ABL (P < 0.04, U‐test) and ΔBL/year (P < 0.04, U‐test) between non‐smokers and heavy smokers for the IL‐1 genotype positive group but not for the IL‐1 genotype negative group. Moreover, significant differences in ABL (P < 0.04, U‐test) and ΔBL/year (P < 0.04, U‐test) were identified between former smokers and heavy smokers for the IL‐1 genotype positive group. The differences in inflammatory parameters (BOP) did not reach statistical significance.</abstract>
<abstract>This study suggests that in heavy cigarette smokers, carriage of a functionally significant IL‐1 gene complex polymorphism is associated with an increased risk for peri‐implant bone loss following prosthetic reconstruction and during the supportive periodontal care phase of the treatment.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>bleeding on probing</topic>
<topic>IL‐1 gene polymorphism</topic>
<topic>implant failure</topic>
<topic>peri‐implant infection</topic>
<topic>radiographic bone loss</topic>
<topic>smoking</topic>
</subject>
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<title>Clinical Oral Implants Research</title>
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<genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre>
<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part>
<date>2003</date>
<detail type="volume">
<caption>vol.</caption>
<number>14</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>1</number>
</detail>
<extent unit="pages">
<start>10</start>
<end>17</end>
<total>8</total>
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</part>
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<identifier type="DOI">10.1034/j.1600-0501.2003.140102.x</identifier>
<identifier type="ArticleID">120889</identifier>
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