Sustainable waste valorization through vermicomposting: optimizing rabbit manure-plant/kitchen waste mixtures for agroecosystem benefits.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Sustainable waste valorization through vermicomposting: optimizing rabbit manure-plant/kitchen waste mixtures for agroecosystem benefits.
Συγγραφείς: Younis HGR; Agricultural Engineering Department, Faculty of Agriculture, Cairo University, Giza, 12613, Egypt. hebagamal73@agr.cu.edu.eg., Abuarab ME; Agricultural Engineering Department, Faculty of Agriculture, Cairo University, Giza, 12613, Egypt. mohamed.aboarab@agr.cu.edu.eg., Abdellatif HRS; Agricultural Engineering Department, Faculty of Agriculture, Cairo University, Giza, 12613, Egypt.
Πηγή: Scientific reports [Sci Rep] 2026 Jul 19; Vol. 16 (1). Date of Electronic Publication: 2026 Jul 19.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
Imprint Name(s): Original Publication: London : Nature Publishing Group, copyright 2011-
Ιατρικοί όροι (MeSH): Composting*/methods , Manure* , Agroecology*, Soil/chemistry ; Lactuca/growth & development ; Agriculture/methods ; Solanum lycopersicum/growth & development ; Daucus carota/growth & development ; Animals ; Rabbits ; Oligochaeta ; Fertilizers
Περίληψη: The growth in organic waste generation from agriculture and homes and excessive use of chemical fertilizers call for sustainable nutrient management practices. We investigated the impact of vermicompost made from rabbit manure (Rm) and plant/kitchen waste (Pw) in five proportions (0-100%) on compost properties, vegetable growth, and soil fertility. The vermicomposting process, utilizing the earthworm species Eisenia fetida, spanned 75-120 days, following which it was administered to tomato, lettuce, and carrot plants in the laboratory. The physical and chemical characteristics of the compost were affected by the feedstock. Higher Pw resulted in lower pH, electrical conductivity (EC), and bulk density, but higher organic matter, porosity, and water retention. However, Rm-dominated treatments had greater macronutrients and micronutrients. The 50% Rm: 50% Pw amendment provided an ideal C/N ratio (21), improved enzyme activity, and a diverse microbial community. All treatments significantly improved crop yields over the control, with the 50:50 mixture achieving maximum yield for tomato (10.2 kg m-2) and lettuce (4.5 kg m-2), while Pw-rich treatments were best for carrot yield. Soil quality was significantly enhanced (structure, CEC, and microbial activity). The results show that the Rm:Pw ratio affects the quality of the vermicompost and enables sustainable waste valorization and soil fertility. This research provides an Rm:Pw compositional approach to link feedstock ratios to compost maturity, microbial community, crop yield, and soil properties after application. It reveals an optimal Rm:Pw ratio (50:50) that optimally balances compost stability, crop performance and environmental benefits, offering a scalable approach to integrated organic waste valorization in circular food systems.
(© 2026. The Author(s).)
Competing Interests: Declarations. Competing interests: The authors declare no competing interests. Ethics approval and consent to participate: All authors gave approval for their participation in this research. The research does not include any experiments on living organisms or experiments on humans that warrant the Ethics Committee and the Ethical Approval Number.
References: Botla, G. et al. Optimization of value-added products using response surface methodology from the HDPE waste plastic by thermal cracking. Therm. Sci. Eng. Progress. 50, 102514 (2024). (PMID: 10.1016/j.tsep.2024.102514)
Srivastava, A. N. et al. E-Waste Unplugged: Reviewing Impacts, Valorization Strategies and Regulatory Frontiers for Efficient E-Waste Management. Processes 13 (7), 2014–p (2025). (PMID: 10.3390/pr13072014)
Mohite, D. D. et al. Vermicomposting: a holistic approach for sustainable crop production, nutrient-rich bio fertilizer, and environmental restoration. Discover Sustain. 5 (1), 60 (2024). (PMID: 10.1007/s43621-024-00245-y)
Vuković, A. et al. Vermicomposting—facts, benefits and knowledge gaps. Agronomy 11 https://doi.org/10.3390/agronomy11101952 (2021).
Mulatu, G. & Bayata, A. Vermicompost as Organic Amendment: Effects on Some Soil Physical, Biological Properties and Crops Performance on Acidic Soil: A Review. Front. Environ. Microbiol. 10, 66–73 (2024). (PMID: 10.11648/j.fem.20241004.11)
Enebe, M. C. & Erasmus, M. Vermicomposting technology - A perspective on vermicompost production technologies, limitations and prospects. J. Environ. Manage. 345, 118585 (2023). (PMID: 3742172310.1016/j.jenvman.2023.118585)
Oyege, I. Balaji bhaskar effects of vermicompost on soil and plant health and promoting sustainable agriculture. Soil. Syst. 7 https://doi.org/10.3390/soilsystems7040101 (2023).
Lim, S. L., Lee, L. H. & Wu, T. Y. Sustainability of using composting and vermicomposting technologies for organic solid waste biotransformation: recent overview, greenhouse gases emissions and economic analysis. J. Clean. Prod. 111, 262–278 (2016). (PMID: 10.1016/j.jclepro.2015.08.083)
Lalander, C. et al. Process efficiency and ventilation requirement in black soldier fly larvae composting of substrates with high water content. Sci. Total Environ. 729, 138968 (2020). (PMID: 3249817010.1016/j.scitotenv.2020.138968)
Phiri, A. T., Zhang, H. & Mnthambala, F. Comparative effects of black soldier fly frass fertilizer and vermicompost on crop performance, soil organic carbon, and nutrient dynamics. Discover Soil. 2 (1), 67 (2025). (PMID: 10.1007/s44378-025-00095-8)
Sande, T. J. et al. Enhancing sustainable crop production through integrated nutrient management: a focus on vermicompost, bio-enriched rock phosphate, and inorganic fertilisers–a systematic review. Front. Agron. 6, 1422876 (2024). (PMID: 10.3389/fagro.2024.1422876)
Manzoor, A. et al. Vermicompost: A potential organic fertilizer for sustainable vegetable cultivation. Sci. Hort. 336, 113443 (2024). (PMID: 10.1016/j.scienta.2024.113443)
Talaat, N. B. & Abdel-Salam, S. A. A novel eco-friendly approach of combining vermicompost and effective microorganisms sustains wheat (Triticum aestivum L.) drought tolerance by modulating photosynthetic performance and nutrient acquisition. Acta Physiol. Plant. 46 (8), 76 (2024). (PMID: 10.1007/s11738-024-03698-w)
Toor, M. D. et al. Vermicompost rate effects on soil fertility and morpho-physio-biochemical traits of lettuce. Horticulturae 10 (4), 418 (2024). (PMID: 10.3390/horticulturae10040418)
Farooqi, Z. U. R. et al. Greenhouse gas emissions, carbon stocks and wheat productivity following biochar, compost and vermicompost amendments: comparison of non-saline and salt-affected soils. Sci. Rep. 14 (1), 7752 (2024). (PMID: 385658581098755710.1038/s41598-024-56381-y)
Abioye, O. M. et al. An overview of the role of vermicompost in reducing green house gas emissions, improving soil health, and increasing crop yields. Appl. Sci. Eng. Progress. 18 (2), 7586–7586 (2025).
Agulló, E. et al. Vermicomposting as an added-value post-treatment for livestock waste composts. Commun. Soil Sci. Plant Anal. 46 (sup1), 208–218 (2015). (PMID: 10.1080/00103624.2014.989009)
Akbasova, A. et al. Impact of vermicompost on the productivity of agricultural crops. Res. J. Pharm. Biol. Chem. Sci. 6 (4), 2084–2088 (2015).
Ergasheva, X. I. et al. Biotechnological processing of organic and domestic waste and the effect of obtained vermicompost on soil fertility. J. Ecol. Eng. 25 (8), 119–129 (2024). (PMID: 10.12911/22998993/189894)
Saharia, M., Dey, G. & Kumar, V. Vermiremediation of plant agro waste to recover residual nutrients and improve crop productivity. In Earthworm Technology in Organic Waste Management. 79–113. (Elsevier, 2024).
Hemanandh, J. et al. Experimental investigation on the effect of hydrotreated vegetable oils as a renewable source: valorization of food waste. Biomass Convers. Biorefinery. 15 (12), 19283–19296 (2025). (PMID: 10.1007/s13399-024-06473-6)
Kader, S., Gratchev, I. & Michael, R. N. Recycled waste substrates: A systematic review. Sci. Total Environ. 953, 176029 (2024). (PMID: 3924406210.1016/j.scitotenv.2024.176029)
Prisa, D. & Jamal, A. Vermicompost in agricultural production: Mechanisms, importance, and applications. Multidiscip Rev. 8, 2025325 (2025). (PMID: 10.31893/multirev.2025325)
Almaramah, S. B. et al. The impact of food waste compost, vermicompost, and chemical fertilizers on the growth measurement of red radish (Raphanus sativus): a sustainability perspective in the United Arab Emirates. Foods 13 https://doi.org/10.3390/foods13111608 (2024).
Allen, R. G. Using the FAO-56 dual crop coefficient method over an irrigated region as part of an evapotranspiration intercomparison study. J. Hydrol. 229 (1–2), 27–41 (2000). (PMID: 10.1016/S0022-1694(99)00194-8)
Brouwer, C. & Heibloem, M. Irrigation water management: irrigation water needs. Train. Manual 3 1–5. (1986).
Sefrin, O., Riese, F. M. & Keller, S. Deep learning for land cover change detection. Remote Sens. 13 (1), 78 (2020). (PMID: 10.3390/rs13010078)
Demir, Z. Effects of vermicompost applications on Atterberg Limits and workability of soils under different soil moisture contents. Eurasian J. Soil. Sci. 10 (3), 215–221 (2021).
Demir, Z. Effects of Vermicompost on Soil Physicochemical Properties and Lettuce (Lactuca sativa Var. Crispa) Yield in Greenhouse under Different Soil Water Regimes. Commun. Soil Sci. Plant Anal. 50 (17), 2151–2168 (2019). (PMID: 10.1080/00103624.2019.1654508)
Paez, V. et al. AOAC SMPR<sup>®</sup> 2016.002. J. AOAC Int. 99 (4), 1122–1124 (2016). (PMID: 2745594510.5740/jaoacint.SMPR2016.002)
Mu, M. et al. Exploring the interaction between vermicompost application and soil types on the dispersal of antibiotic resistome above- and belowground. Appl. Soil. Ecol. 215, 106423 (2025). (PMID: 10.1016/j.apsoil.2025.106423)
Howell, T., Cuenca, R. & Solomon, K. Crop Yield response. management of farm irrigation systems. Trans (ASAE Monograph Chap S. USA, 1990).
Davies, L. & Richards, A. Costing an irrigation system (net margin calculator). State of New South Wales 112–115 (Department of Primary Industries Agriculture, 2002).
Raza, S. T. et al. Effects of vermicompost preparation and application on waste recycling, NH3, and N2O emissions: A systematic review on vermicomposting. Environ. Technol. Innov. 35, 103722 (2024). (PMID: 10.1016/j.eti.2024.103722)
Usta, A. N. & Guven, H. Vermicomposting organic waste with Eisenia fetida using a continuous flow-through reactor: Investigating five distinct waste mixtures. J. Environ. Chem. Eng. 12 (6), 114384 (2024). (PMID: 10.1016/j.jece.2024.114384)
Guo, H. et al. Impact of earthworms on suppressing dissemination of antibiotic resistance genes during vermicomposting treatment of excess sludge. Bioresour. Technol. 406, 130991 (2024). (PMID: 3888572210.1016/j.biortech.2024.130991)
Awasthi, M. K. et al. Agricultural waste biorefinery development towards circular bioeconomy. Renew. Sustain. Energy Rev. 158, 112122 (2022). (PMID: 10.1016/j.rser.2022.112122)
Zhang, J. et al. Industrial-scale composting of swine manure with a novel additive-yellow phosphorus slag: Variation in maturity indicators, compost quality and phosphorus speciation. Bioresour. Technol. 384, 129356 (2023). (PMID: 3733644510.1016/j.biortech.2023.129356)
Li, J., Zhang, H. & Zheng, L. Influence of organic amendments based on garden waste for microbial community growth in coastal saline soil. Sustainability 15 (6), 5038 (2023). (PMID: 10.3390/su15065038)
Wang, D. et al. Deciphering the bioavailability of dissolved organic matter in thermophilic compost and vermicompost at the molecular level. Bioresour. Technol. 391, 129947 (2024). (PMID: 3791405610.1016/j.biortech.2023.129947)
Chen, W. et al. Effects of tillage and biochar on soil physiochemical and microbial properties and its linkage with crop yield. Front. Microbiol. 13, 929725 (2022). (PMID: 36204616953014410.3389/fmicb.2022.929725)
Zhou, G. et al. Green manuring combined with optimal water management achieves a triple-win for paddy soil quality, rice productivity, and environmental benefits. Agric. Ecosyst. Environ. 383, 109507 (2025).
Singh, W. R. & Kalamdhad, A. S. Transformation of nutrients and heavy metals during vermicomposting of the invasive green weed Salvinia natans using Eisenia fetida. Int. J. Recycling Org. Waste Agric. 5 (3), 205–220 (2016). (PMID: 10.1007/s40093-016-0129-3)
Keniya, B. et al. Vermistabilization of mango tree pruning waste with five earthworm species: A biochemical and heavy metal assessment. Heliyon 9(9). (2023).
Soobhany, N. Insight into the recovery of nutrients from organic solid waste through biochemical conversion processes for fertilizer production: A review. J. Clean. Prod. 241, 118413 (2019). (PMID: 10.1016/j.jclepro.2019.118413)
Sharma, S. & Dhaliwal, S. Conservation agriculture based practices enhanced micronutrients transformation in earthworm cast soil under rice-wheat cropping system. Ecol. Eng. 163, 106195 (2021). (PMID: 10.1016/j.ecoleng.2021.106195)
Zhang, Q. et al. Fate of heavy metals and importance of influencing factors during vermicomposting. J. Clean. Prod. 486, 144499 (2025). (PMID: 10.1016/j.jclepro.2024.144499)
Dume, B. et al. Nutrient recovery and changes in enzyme activity during vermicomposting of hydrolysed chicken feather residue. Environ. Technol. 47 (7), 1039–1053 (2026). (PMID: 3636892510.1080/09593330.2022.2147451)
Yatoo, A. M. et al. Production of nutrient-enriched vermicompost from aquatic macrophytes supplemented with kitchen waste: Assessment of nutrient changes, phytotoxicity, and earthworm biodynamics. Agronomy 12 (6), 1303 (2022). (PMID: 10.3390/agronomy12061303)
Rostaei, M. et al. Organic manures enhance biomass and improve content, chemical compounds of essential oil and antioxidant capacity of medicinal plants: A review. Heliyon 10(17). (2024).
Grabowski, P. et al. Research agenda for holistically assessing agricultural strategies for human micronutrient deficiencies in east and southern Africa. Agric. Syst. 220, 104094 (2024). (PMID: 10.1016/j.agsy.2024.104094)
Marumure, J. et al. An outstanding perspective on biological dynamics in vermicomposting matrices, in Vermicomposting for Sustainable Food Systems in Africa 59–87 (Springer, 2023).
Gomez-Roel, A., Aira, M. & Dominguez, J. Vermicomposting enhances microbial detoxification of sewage sludge, enabling potential application of the treated product in agroecosystems. Appl. Sci. 14 (17), 7894 (2024). (PMID: 10.3390/app14177894)
Pathma, J. & Sakthivel, N. Microbial diversity of vermicompost bacteria that exhibit useful agricultural traits and waste management potential. SpringerPlus 1 (1), 26 (2012). (PMID: 23961356372589410.1186/2193-1801-1-26)
Lara-Capistrán, L. et al. Effect of a marine bacterium and vermicompost on antioxidant properties and fruit quality of Solanum lycopersicum L. Terra Latinoam. 42. (2024).
Singh, V. et al. Effect of humic acid enriched vermicompost on quality parameters of Tomato Lycopersicon esculentum. Int. J. Agricultural Invention. 10 (1), 214–218 (2025). (PMID: 10.46492/IJAI/2025.10.1.28)
Kwenda, G. et al. Effects of vermicompost and hot compost integration on carrot (Daucus carota L.) growth and yield. Can. J. Plant Sci. (2026).
Biswas, P. et al. Effect of vermicompost and biochar on growth and yield of carrot in red lateritic soils of Purulia District of West Bengal. Int. J. Plant. Soil. Sci. 32 (8), 15–20 (2020). (PMID: 10.9734/ijpss/2020/v32i830313)
Lazcano-Bello, M. I. et al. Evaluation of substrates, nutrient solution and rooting agent in tomato seedling production. Revista mexicana de ciencias agrícolas. 12 (1), 61–76 (2021).
Canellas, L. P. et al. Farm-produced plant biostimulant: case study with passion fruit. Agronomy 15 (3), 681 (2025). (PMID: 10.3390/agronomy15030681)
Yadav, S. & Kumar, P. Influence of vermicompost derived from rice straw, neem leaves, and cow dung on plant growth parameters of Solanum lycopersicum (Tomato). Indian J. Sci. Technol. 16, 989–997 (2023). (PMID: 10.17485/IJST/v16i13.2307)
Segura-Castruita, M. Á. et al. Influence of Vermicompost on the Concentration of Exogenous Indole-3-Acetic Acid and Its Effect on the Development of Tomato Plants (Lycopersicum esculentum L). Agronomy 14 (6), 1311 (2024). (PMID: 10.3390/agronomy14061311)
Boyacı, S. et al. Determination of the effects of different irrigation levels and vermicompost doses on water consumption and yield of greenhouse-grown tomato. Water 16 (8), 1095 (2024). (PMID: 10.3390/w16081095)
Papathanasiou, F. et al. Vermicompost as a soil supplement to improve growth, yield and quality of lettuce (Lactuca sativa L). J. Food Agric. Environ. 10 (2), 677–682 (2012).
Somefun, O. T., Masasi, B. & Adelabu, A. O. Irrigation and water management of Tomatoes–A review. J. Sustainable Agric. Environ. 3 (4), e70020 (2024). (PMID: 10.1002/sae2.70020)
Ma, H. et al. Vermicompost improves physicochemical properties of growing medium and promotes plant growth: a meta-analysis. J. Soil. Sci. Plant. Nutr. 22 (3), 3745–3755 (2022). (PMID: 10.1007/s42729-022-00924-7)
Castellini, M. et al. Impact of vermicompost addition on water availability of differently textured soils. Heliyon 10(15). (2024).
Mulatu, G. & Bayata, A. Vermicompost as organic amendment: effects on some soil physical, biological properties and crops performance on acidic soil: a review. Environ. Microbiol. 10 (4), 66–73 (2024).
Yang, Z. et al. Vermicompost addition improved soil aggregate stability, enzyme activity, and soil available nutrients. J. Soil. Sci. Plant. Nutr. 24 (4), 6760–6774 (2024). (PMID: 10.1007/s42729-024-02002-6)
Safadoust, A., Azimi, S. B. & Dehghan, M. B. Restoring soil functionality in drylands: Soil texture-specific impacts of vermicompost as an organic waste-based amendment. J. Arid Environ. 231, 105446 (2025). (PMID: 10.1016/j.jaridenv.2025.105446)
Oyege, I. & Balaji Bhaskar, T. V. Restoring soil functionality in drylands: Soil texture-specific impacts of vermicompost as an organic waste-based amendment. J. Arid Environ. 231, 105446 (2023).
Yang, Z. et al. Vermicompost addition improved soil aggregate stability, enzyme activity, and soil available nutrients. J. Soil. Sci. Plant. Nutr. 24, 6760–6774 (2024). (PMID: 10.1007/s42729-024-02002-6)
Mulatu, G. B. Vermicompost as organic amendment: effects on some soil physical, biological properties and crops performance on acidic soil: a review. Environ. Microbiol. 10 (4), 66–73 (2024).
Maffia, A. et al. Humic substances: Bridging ecology and agriculture for a greener future. Agronomy 15 (2), 410 (2025). (PMID: 10.3390/agronomy15020410)
Xu, J., Li, Y. & Li, L. A comprehensive review of the effects of organic amendments on soil health and fertility: Mechanisms, greenhouse gas emissions, and implications for sustainable agriculture. Agronomy 15 (12), 2705 (2025). (PMID: 10.3390/agronomy15122705)
Jha, R. et al. Unlocking the potential of composting: strategies for organic waste management and soil health enhancement. In The Circular Path: Rethinking Waste for a Sustainable Future 347–370. (2026).
Ighalo, J. O. et al. Biochar for ameliorating soil fertility and microbial diversity: From production to action of the black gold. Iscience 28(1). (2025).
Roy, S., Hossain, R., Akhtaruzzaman, M. & Hakim, A. Saturated hydraulic conductivity of soils in the presence of vermicast: Effects of soil texture and vermicast sizes. Asian J. Water Environ. Pollut. 22 (1), 115 (2025). (PMID: 10.36922/ajwep.7526)
Sharma, P. et al. Optimizing soil properties, water use efficiency, and crop yield through biochar and organic manure integration in organic soil. ournal Environ. Manage. 373, 123673 (2025).
Shu, X. et al. Organic amendments enhance soil microbial diversity, microbial functionality and crop yields: A meta-analysis. Sci. Total Environ. 829, 154627 (2022). (PMID: 3530606510.1016/j.scitotenv.2022.154627)
Chiodi, C. et al. Organic amendments influence soil properties, soil microbial diversity, and winter barley traits in a five-year field trial with contaminated soils at a former wood preservation site. Chem. Biol. Technol. Agric. 12 (1), 87. (2025).
Ullah, R. et al. Impact of various organic amendments on soil microbial biomass and enzymes activities under different cropping patterns; an incubation study. Pure Appl. Biol. (PAB). 14 (2), 479–498 (2025).
Nandhakumar, S. Soil enzyme activity and microbial biomass under organic amendments. Int. J. Soil Sci. (2026).
Zaid, F., Al-Awwal, N., Yang, J., Anderson, S. H. & Alsunuse, B. T. Effects of biochar-amended composts on selected enzyme activities in soils. Processes 12, 1678 (2024). (PMID: 10.3390/pr12081678)
Ma, S. et al. Organic amendments reshaped the chemical composition of soil organic matter: A meta-analysis. Geoderma 468, 117762 (2026). (PMID: 10.1016/j.geoderma.2026.117762)
Singh, S. et al. Soil fertility management: Role of organic amendments and bio-fertilizers: A review. Int. J. Res. Agron. 7 (12), 766–772 (2024). (PMID: 10.33545/2618060X.2024.v7.i12j.2253)
Kamar Zaman, A. M. & Yaacob, J. S. Exploring the potential of vermicompost as a sustainable strategy in circular economy: improving plants’ bioactive properties and boosting agricultural yield and quality. Environ. Sci. Pollut. Res. 29 (9), 12948–12964 (2022). (PMID: 10.1007/s11356-021-18006-z)
Arulmani, K., Srinivasan, G. & Jayasankar, R. Economic analysis of tomato cultivation with drip irrigation system. Int. J. Health Sci. 6 (S4), 5873–5881 (2022). (PMID: 10.53730/ijhs.v6nS4.9461)
Gomez-Brandon, M., Lores, M. & Domínguez, J. Recycling and valorization of distilled grape marc through vermicomposting: a pilot-scale study. J. Mater. Cycles Waste Manage. 25 (3), 1509–1518 (2023). (PMID: 10.1007/s10163-023-01627-6)
Hagelüken, C. & Goldmann, D. Recycling and circular economy—towards a closed loop for metals in emerging clean technologies. Mineral. Econ. 35 (3), 539–562 (2022). (PMID: 10.1007/s13563-022-00319-1)
Chowdhury, H. & Asiabanpour, B. A circular economy integration approach into vertical farming with computer-based simulation model for resource optimization and waste reduction. J. Clean. Prod. 470, 143256 (2024). (PMID: 10.1016/j.jclepro.2024.143256)
Contributed Indexing: Keywords: Antioxidant activity; Plant and kitchen wastes; Rabbit manure; Soil biological activity; Vegetable productivity; Vermicomposting
Substance Nomenclature: 0 (Manure)
0 (Soil)
0 (Fertilizers)
Entry Date(s): Date Created: 20260719 Date Completed: 20260719 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13381593
DOI: 10.1038/s41598-026-61927-3
PMID: 42472858
Βάση Δεδομένων: MEDLINE