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doI 10.11603/IJMMR.2413-6077.2020.1.11502

MORPHOMETRIC EVALUATION OF SPERMATOGENIC EPITHELIOCYTES 
STRUCTURE UNDER THE RUBOMYCIN INFLUENCE IN RATS

M.S. Hnatiuk, *S.О. Konovalenko, L.V. Tatarchuk, О.B. Yasinovsky
I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY, TERNOPIL, UKRAINE

Background. Over the last 20 years, the quality of men’s sperm around the world has deteriorated twice. 
The causes are poor environment, stress, sedentary lifestyle, prevalence of sexually transmitted infections, obesity, 
alcohol abuse and various stimulants. The structure and function of the testes, when exposed to various drugs 
and chemicals, attracts the attention of present researchers.

Objectives. The aim of the research was to study the structural changes of the spermatogenic epithelium 
in testicular damage caused by rubomycin hydrochloride.

Methods. The spermatogenic epithelium of the testes of 30 white adult white male rats, which were divided 
into 2 groups, was morphometrically examined. The 1st group comprised 15 experimental intact animals, the 2nd 
– 15 rats, in which testicular damage with rubomycin hydrochloride was simulated. Euthanasia of rats was 
performed by bloodletting under thiopental anesthesia one month after the experiment beginning. Quantitative 
morphological parameters were statistically processed. In spermatocytes of the 1st P-order, spermatogonia and 
spermatids of testes, their height, diameter of nuclei, nuclear-cytoplasmic ratio and relative volumes of damaged 
cells of spermatogenic epithelium were evaluated.

Results. It was established that spermatogenic epithelial cells were damaged in the simulated experimental 
conditions, which was morphometrically confirmed by changes in nuclear-cytoplasmic relations in the 1st, 2nd 
order spermatocytes, spermatogonia and spermatids. The relative volumes of damaged spermatogenic epithelial 
cells also increased significantly. The most significant morphometric parameters were altered in spermatids. 
Thus, the nuclear-cytoplasmic ratio in the studied cells was statistically significantly (p <0.001) increased by 7.4% 
compared with the similar control morphometric parameter. The relative volume of damaged spermatids in these 
experimental conditions reached (32.50±0.18) %, which with a high statistically significant difference (p<0.001) 
exceeded the same control value in almost 15.8 times. Optically, histological preparations of the testes showed 
severe vascular disorders, characterized by dilation and plethora mostly of venous vessels, which pointed to 
violation of venous drainage of the studied organs.

Conclusions. According to the attained research results it has been established that nuclear-cytoplasmic 
relations are an objective and valuable informative indicator of a functional condition of cells and their structural 
changes in pathological conditions. When rubomycin hydrochloride is exposed to experimental animals, the most 
significant changes in nuclear-cytoplasmic relations are found in spermatic spermatozoa.

KEY WORDS: rubomycin hydrochloride, testes, spermatogenic epithelium, white rats, 
morphometry.

International Journal of Medicine and Medical Research 
2020, Volume 6, Issue 1, p. 68-73
copyright © 2020, TNMU, All Rights Reserved

*Corresponding author: S.О. Konovalenko, MD, Ph.D., Associate 
Professor, Department of Operative Surgery and Clinical 
Anatomy, I. Horbachevsky Ternopil National Medical Univer-
sity, Ternopil, Ukraine; e-mail: konovalenko @tdmu.edu.ua

M.S. Hnatiuk et al.

Introduction 
It is established that in the structure of 

infertile marriages, the male factor is 20% [2, 4, 
8, 12, 17]. The reason for this is a decrease in 
spermatogenic and hormonal function of the 
testes. Often the reason for this is the effect of 
various toxic factors on the body [2, 13, 14, 19]. 
In recent years, many researchers are interested 
in changes in the structure and function of the 
testes in different physiological and pathological 
conditions [10, 11, 15, 19].

Rubomycin is an antitumor antibiotic of the 
anthracycline series with a significant cytostatic 

effect, which when administered to men can 
lead to azoospermia (absence of sperm in the 
ejaculate) [5]. The effect of rubomycin on the 
structure of the spermatogenic epithelium has 
been studied insufficiently.

The aim of our study was to investigate the 
features of structural changes in the sperma-
to genic epithelium in cases of testicular da-
mage by rubomycin hydrochloride. 

Methods 
The testicular structures of 30 laboratory 

adult white male rats, which were divided into 
2 groups, were studied by morphometric me-
thods. The 1st group comprised 15 exper mental 
intact animals, the 2nd – 15 rats with simulated 



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testicular damage by rubomycin hydrochloride 
[18]. One month after the beginning of the 
experiment, euthanasia of experimental ani-
mals was performed by bloodletting under 
conditions of thiopental-sodium anesthesia. 
Pieces were cut from the testes, which were 
fixed in 10 % neutral formalin solution, passed 
through ethyl alcohols of increasing concent-
ration and placed in paraffin. Microtome sec-
tions 5-6 mcr thick after dewaxing were stained 
with hematoxylin-eosin, according to van Gizon, 
Mallory, Weigert, toluidine blue [7]. Histological 
micropreparations determined the height of 
spermatogenic cells, the diameter of their 
nuclei, nuclear-cytoplasmic ratios, the relative 
volume of damaged epitheliocytes (VODE) [1, 
6, 16]. Morphometry of these structures was 
performed using a light microscope “Olimpus 
BX-2” with a digital video camera and application 
package “Video Test 5.0” and “Video size 5.0”. 
Quantitative values   were processed statistically 
by STATISTIKA software package. The diffe-
rences between the comparative values   were 
determined by the Mann-Whitney and Student’s 
tests [9]. The studies were performed according 
to national and international regulations on 
carrying out experimental tests (“European 
Convention for the Protection of Vertebrate 
Ani mals used for Experimental and Other Scien-
tific Purposes” (Strasbourg, 1986), “General 
Ethical Principles of Animal Experiments”, 
adop   ted by the First National Congress on Bio-
ethics (Kiev, 2001)) [8], as well as the Law of 

Ukraine “On Protection of Animals from Cruel-
ty”, dated February 21, 2006.

Results
The attained morphometric parameters are 

presented in Table 1. A comprehensive analysis 
of the data showed that most of the studied 
morphometric parameters of the spermatogenic 
epithelium changed significantly. Thus, the 
height of spermatocytes of the 1st order de-
creased slightly by only 0.65% (p<0.05). The 
diameters of the nuclei of these cells with a high 
statistically significant difference (p<0.001) 
increased from (5.25±0.03) µm to (5.76±0.04) 
µm, i.e. by 9.7%. Uneven changes in the spatial 
characteristics of the nucleus and cytoplasm of 
spermatocytes of the 1st order led to violations 
of nuclear-cytoplasmic relations in them. This 
morphometric index increased by 3.2% (p<0.05), 
which pointed to violation of the studied ele-
ments of structural cellular homeostasis [1]. 
The relative volume of damaged first-order 
sper matocytes under these experimental con-
ditions with a high statistically significant diffe-
rence (p<0.001) increased almost in 9.7 times.

The morphometric parameters of P-order 
spermatocytes changed almost similarly under 
the influence of rubomycin hydrochloride. The 
height of these cells was almost the same as in 
the control, the diameters of the nuclei were 
statistically significantly (p<0.05) increased by 
2.4%, and the nuclear-cytoplasmic ratio – by 
4.9% (p<0.01). The relative volume of damaged 

Table 1. Morphometric characteristics of cells of spermatogenic epithelium of testes of the 
experimental animals (M±m)

Cells
Morphometric parameter

Height, microns Diameter of the core, microns
Nuclear-cytoplas-

mic relations VODE, %

Control group
Spermatocytes of the first 
order

7.65±0.05 5.25±0.03 0.556±0.003 2.20±0.01

Spermatocytes of the 
second order 

5.88±0.04 3.76±0.03 0.410±0.002 2.26±0.02

Spermatogonia 6.12±0.04 4.80±0.03 0.615±0.004 2.15±0.02
Spermatids 4.98±0.03 3.07±0.03 0.389±0.002 2.06±0.02

Experimental group
Spermatocytes of the first 
order

7.60±0.05 5.76±0.04*** 0.574±0.004* 21.30±0.15***

Spermatocytes of the  
second order 

5.85±0.04 3.85±0.03* 0.430±0.003** 25.60±0,15***

Spermatogonia 6.05±0.04 4.79±0.03 0.628±0.004* 29.80±0.15***
Spermatids 4.92±0.03 3.18±0.02* 0.418±0.002*** 32.50±0.18***

Notes. * – р<0.05; ** – р<0.01; *** – р<0.001. VODE – volume of damaged epitheliocytes.



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P-order spermatocytes under these experi-
mental conditions was equal to (25.60±0.15)%. 
This morphometric parameter with a high 
statistically significant (p<0.001) difference 
exceeded the similar quantitative morphological 
index in 11.3 times.

 The height of spermatogonia of the testes 
in the experimental animals affected by the 
studied drug medium decreased by only 1.1% 
(p<0.05), the diameters of their nuclei did not 
change significantly, and nuclear-cytoplasmic 
ratios increased by 2.1% (p<0.05). The relative 
volume of damaged spermatogonia in these 
experimental conditions statistically signi fi-
cantly (p<0.001) increased in 13.8 times and 
reached (29.80±0.15)%.

 Analysis of the obtained data revealed that 
under the influence of rubomycin hydrochloride 
the height of testicular spermatids decreased 
by only 1.2% (p<0.05), the diameters of their 
nuclei increased by 3.6% (p<0.05). Nuclear-
cytoplasmic ratios in the studied cells statistically 
significantly (p<0.001) increased by 7.4% com-
pared with the similar control morphometric 
parameter. The relative volume of damaged 
spermatids under these experimental condi-
tions reached (32.50±0.18) %. This morphometric 
parameter with a high statistically significant 
difference (p<0.001) exceeded the similar 
control value in almost 15.8 times.

 
Discussion
Analysis of the above morphometric para-

meters proved that the introduction of rubo-
mycin hydrochloride into the body of ex peri-
mental animals led to structural rearrangement 
and damage to cells of spermatogenic epithe-
lium of the testes. The most pronounced 
changes were found in spermatids in com-
parison with other studied cells.

According to present researchers, nuclear-
cytoplasmic relations are a valuable morpho-
metric indicator that adequately reflects the 
peculiarities of cell function and metabolism, 
degree of disturbances of cellular structural 
homeostasis [1, 6, 16]. The nucleus and cyto-
plasm of cells are separated from each other, 
but at the same time they are closely inter-
connected and integrated and form a single 
structural and functional system. It follows that 
the isolated study of quantitative morphological 
parameters of only the cytoplasm of the cell or 
only its nucleus allows getting a one-sided idea 
of   these structural components of the cell. The 
study of nuclear-cytoplasmic relationships 
makes it possible to obtain more adequate, 

objective and in-depth information on the 
relationship between the nucleus and cytoplasm 
of cells and their changes in various physiological 
and pathological conditions. Nuclear-cyto-
plasmic relations can change at hyperfunction 
of bodies as well as hypofunction, and also in 
cases of their damage. It is established that 
nuclear-cytoplasmic ratios depend on cell diffe-
rentiation. The specified morphometric para-
meter decreases in case of maturation of cells 
and their differentiation that is caused to some 
extent by increase in cytoplasm and its hyper-
plasia of specific functioning organelles. The 
relationship between the spatial charac teristics 
of the nucleus and cytoplasm of the cell can 
also change with cell division, growth, diploidy 
[6, 16].

 In the optical examination of testicular 
micro preparations, significant vascular disor-
ders were evidenced, which were characterized 
by dilation and plethora of mainly venous 
vessels, which pointed to violation of venous 
drainage from the studied organs (Fig. 1) [3]. 

A severe edema of the stroma, foci of 
dystrophically, necrobiotically altered sperma-
togenic epitheliocytes, stromal structures, local 
cellular infiltrates, sclerotic processes, desqua-
mation and proliferation of vascular endothelial 
cells was present (Pic. 2). The latter pointed to 
the presence of hypoxia. Foci of vascular en do-
thelial cell edema, permeation of their memb-
rane with plasma proteins were also present. 
Foci of fibrinoid swelling and necrosis in some 
vessels were evidenced that indicated their 
severe damage. Among spermatogenic epithe-
liocytes in the studied conditions of the expe-
riment, spermatids were the most morpho lo-
gically altered, in which the degree of disorders 

Fig. 1. Stromal edema, partial reduction of layers and 
damage of spermatogenic epithelial cells, their des-
quamation, thickening of the membranes of the 
tortuous seminal tubules of the testis of a white rat 
under the influence of rubomycin hydrochloride. 
Hematoxylin-eosin staining. ×140.

M.S. Hnatiuk et al.



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of nuclear-cytoplasmic relations and the rela-
tive volume of damaged cells were the largest. 
It points to the fact that the studied mor-
phometric parameter also reflects the severity 
and depth of cell damage.

Conclusions 
Nuclear-cytoplasmic relations are an objec-

tive and significant informative indicator of 
functional state of the cells and their structural 
changes in pathological conditions. When rubo-
mycin hydrochloride is exposed to experimental 
animals, the most significant changes in nu-
clear-cytoplasmic relations are found in sper-
matic spermatozoa.

Funding
This research received no external funding.
Conflict of Interests
The authors declare no conflict of interest.
Author Contributions
Hnatiuk M.S. – supervision, morphometry, 

morphological analysis of micropreparations, 
writing – review and editing; Konovalenko S.О. – 
writing, generalization of results, project admi-
nistration, Tatarchuk L.V. – supervision, review 
and editing , Yasinovsky О.B. – literature analysis, 
data curation.

Fig. 2. Structural changes in the vessel wall, perivasal 
sclerosis, dystrophy, edema, desquamation of sper-
matogenic epitheliocytes in the tortuous seminal 
tubules of the testis of experimental animals under 
the influence of rubomycin hydrochloride. Hematox-
ylin-eosin staining. ×140.

МОРФОМЕТРИЧНА ОЦІНКА СТРУКТУРНОЇ ПЕРЕБУДОВИ КЛІТИН 
СПЕРМАТОГЕННИХ ЕПІТЕЛІОЦИТІВ СІМ′ЯНИКІВ ЕКСПЕРИМЕНТАЛЬНИХ 
ТВАРИН ПІД ВПЛИВОМ РУБОМІЦИНУ ГІДРОХЛОРИДУ

М.С. Гнатюк, С.О. Коноваленко, Л.В. Татарчук, О.Б. Ясіновський 
ТЕРНОПІЛЬСЬКИЙ НАЦІОНАЛЬНИЙ МЕДИЧНИЙ УНІВЕРСИТЕТ ІМЕНІ І.Я.ГОРБАЧЕВСЬКОГО,  

ТЕРНОПІЛЬ, УКРАЇНА 

Вступ. За останні 20 років якість сперми чоловіків у всьому світі погіршилась у 2 рази. Причини: 
погана екологія, стреси, малорухливий спосіб життя, поширеність статевих інфекцій, ожиріння, 
зловживання алкоголем і різними стимуляторами. Структура та функція сім′яників при дії на організм 
різних медикаментозних середників та хімічних речовин привертає увагу сучасних дослідників.

Мета. Вивчити особливості структурних змін сперматогенного епітелію при ушкодженні сім’яників 
рубоміцином гідрохлориду. 

Методи. Морфометрично досліджено сперматогенний епітелій сім′яників 30 білих статевозрілих 
білих щурів-самців, які були були поділені на 2-і групи. 1-а група включала 15 дослідних інтактних тварин, 
2-а – 15 щурів, у яких моделювали ушкодження сім′яників рубоміцином гідрохлоридом. Евтаназію щурів 
здійснювали кровопусканням в умовах тіопенталового наркозу через місяць від початку досліду. Кількісні 
морфологічні показники обробляли статистично. У сперматоцитах 1-го. П-го порядків, сперматогоніях 
та сперматидах сім′яників вимірювали їх висоту, діаметр ядер, ядерно-цитоплазматичні відношення 
та відносні об′єми пошкоджених клітин сперматогенного епітелію. 

Результати. Встановлено, що у змодельованих експериментальних умовах пошкоджувалися клітини 
сперматогенного епітелію, що морфометрично підтверджувалося змінами ядерно-цитоплазматичних 
відношень у сперматоцитах 1-го, 2-го порядків, сперматогоніях та сперматидах. Виражено зростали 
також відносні об′єми пошкоджених вказаних клітин сперматогенного епітелію. Найбільш виражено 
морфометричні параметри виявилися зміненими у сперматидах. Так, ядерно-цитоплазматичні 
відношення у досліджуваних клітинах статистично достовірно (р<0,001) збільшилися на 7,4 % порівняно 
з аналогічним контрольним морфометричним параметром. Відносний об′єм пошкоджених сперматид 
у даних умовах експерименту досягав (32,50±0,18) %, що з вираженою статистично достовірною 
різницею (р<0,001) перевищував аналогічну контрольну величину майже у 15,8 рази. Світлооптично 
на гістологічних препаратах сім'яників cпостерігалися виражені судинні розлади, що характеризувалися 

M.S. Hnatiuk et al.



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розширенням та повнокров′ям переважно венозних судин, що свідчило про порушення венозного дренажу 
від досліджуваних органів. 

Висновки. На основі проведених досліджень та отриманих результатів встановлено, що ядерно-
цитоплазматичні відношення є об′єктивним та цінним інформативним показником функціонального 
стану клітин та їх структурних змін в патологічних умовах. При дії на організм дослідних тварин 
рубоміцину гідрохлориду найвираженіші зміни ядерно-цитоплазматичних відношень виявлені у 
сперматидах сім′яників.

КЛЮЧОВІ СЛОВА: рубоміцин гідрохлорид, сім′яники, сперматогенний епітелій, білі щурі, 
морфометрія.

Інформація про авторів
Гнатюк Михайло Степанович – доктор медичних наук, професор, завідувач кафедри оперативної 

хірургії та клінічної анатомії, Тернопільський національний медичний університет імені І.Я. Горба-
чевського.

ORCID http://orcid.org/0000-0002-4110-5568, e-mail: hnatjuk@tdmu.edu.ua
Коноваленко Сергій Олександрович – канд. мед. наук, доцент кафедри оперативної хірургії та 

клінічної анатомії, Тернопільський національний медичний університет імені І.Я. Горбачевського.
ORCID http://orcid.org/0000-0002-3478-462X, e-mail: konovalenko @tdmu.edu.ua
Татарчук Людмила Василівна – доктор медичних наук, асистент кафедри фізіології з основами 

біоетики та біобезпеки, Тернопільський національний медичний університет імені І.Я. Горбачевського.
ORCID http://orcid.org/0000-0002-4678-4205, e-mail: tatarchyklv@tdmu.edu.ua
Ясіновський Олег Борисович – канд. мед. наук, асистент кафедри оперативної хірургії та клінічної 

анатомії, Тернопільський національний медичний університет імені І.Я. Горбачевського.
ORCID http://orcid.org/0000-0002-5121-3140, e-mail: yasinovskyi@tdmu.edu.ua

Information about the authors
Hnatjuk M.S. – MD, Ph.D., DSc, Professor, Head of the Department of Operative Surgery and Clinical 

Anatomy, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine. 
ORCID http://orcid.org/0000-0002-4110-5568, e-mail: hnatjuk@tdmu.edu.ua
Konovaleno S.О. – MD, Ph.D., Associate Professor, Department of Operative Surgery and Clinical 

Anatomy, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.
ORCID http://orcid.org/0000-0002-3478-462X, e-mail: konovalenko @tdmu.edu.ua
Tatarchuk L.V. – MD, Ph.D., DSс, Assistant Professor, Department of Operative Surgery and Clinical 

Anatomy, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.
ORCID http://orcid.org/0000-0002-4678-4205, e-mail: tatarchyklv@tdmu.edu.ua
Yasinovsky О.B. – MD, Ph.D., Assistant Professor, Department of Operative Surgery and Clinical 

Anatomy, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.
ORCID http://orcid.org/0000-0002-5121-3140, e-mail: yasinovskyi@tdmu.edu.ua

References 
1. Avtandilov GG. Fundamentals of quantitative 

pathology. М.: Meditsina.2002;240 p. (In Russian).
2. Bazalitskaya SV, Gorpinenko II, Romanenko 

AM. Diagnostic methods and criteria for evaluating 
biopsy material in male infertility. Men’s Health. 
2004;3:216-221.

3. Baibakov VM. Model of morphofunctional 
changes of testicular drainage systems in the expe-
riment. Pediatric Surgery. 2016;1-2:43-45.

4. Bedenyuk AD, Tverdokhlib VV, Mysak AI, 
Nesteruk SO. Improving spermatogenesis in the 
complex treatment of male infertility. Achievements 
of Clinical and Experimental Medicine. 2019;2:83-87.

5. Burbela AT, Shabrov AV, Denisenko PP. Mo-
dern Medicines. M.: Olma-Press, 2003;862 p.

6. Hnatyuk MS, Slabiy OB, Tatarchuk LV. Nuclear-
cytoplasmic relations in cardiomyocytes and vent-
ricular endotheliocytes of the pulmonary heart. Cli-
nical Anatomy and Operative Surgery. 2016;15(1):67-
70.

7. Goralsky LP, Khomych VT, Kononsky OI. Fun-
damentals of histological technique and morpho-
functional research methods in normal and patho-
logy. Zhytomyr: Polissya.2011;288 p.

8. Gorpinchenko II, Romanyuk MG. Male in-
fertility: etiology, pathogenesis, diagnosis and mo-
dern methods of treatment. Men's Health. 2016;1:8-
16.

9. Grzhibovsky AI, Ivanov OV, Gorbatova MA. 
Comparison of quantitative data of two paired 
samples with the implementation of Statistica and 

M.S. Hnatiuk et al.



73

B
io

m
e

d
ic

a
l

 S
c

ie
n

c
e

S

iSSn 2413-6077. iJmmR 2020 Vol. 6 issue 1

SPSS software: parametric and nonparametric cri-
teria. Science and Health. 2016;3:5-25.

10. Gritsulyak BV, Glodan OYa. Cytological 
changes in the testicle under conditions of blockade 
of blood flow from it in the experiment. Bulletin of 
the Precarpathian National University. V. Stefanyk, 
Series "Biology", 201;XV.201-204.

11. Hrytsulyak BV, Spaska AM, Hrytsulyak VB. 
Orchoepididymitis. Ivano-Frankivsk: Precarpathian 
National University. 2010;188 p.

12. Dariy OS. Optimization of tactics of assisted 
reproductive technologies in married couples with 
a burdened genetic history. Women’s Health. 
2018;8:39-42.

13. Dolinko NP. Influence of ginkgo biloba on 
morphometric and functional parameters of sper-
matozoa in conditions of chronic ethanol intoxication. 
Bulletin of Mogilev State University named after AA 
Kuleshov. Natural Science Series. 2015:2 (46):99 - 102.

14. Dubinina AA. Toxic substances and methods 
for their determination. Kharkiv: KhDUHT, 2016;106 p.

15. Pastukhova VA. Porial analysis of the struc-
tural organization of the testicles of rats in the age 
aspect. Taurian Medical and Biological Bulletin. 
2009.4(48):238-241.

16. Weak OB, Hnatyuk MS, Tatarchuk LV. Nuclear-
cytoplasmic relations in endotheliocytes of arterial 
and venous channels of the atria of the pulmonary 
heart. Achievements of clinical and experimental 
medicine. 2018;2:253-254.

17. Stus VP, Polion YM, Polion MYu. Restoration 
of spermatogenesis in patients with excretory-toxic 
infertility. Men’s health. 2016;2:143-145.

18. Konovalenko SO., Hnatiuk MS, Yasinovskyi OB, 
Tatarchuk LV. Morphometric analysis of peculiarities 
of the testicular arteries remodeling under the in-
fluence of rubomycin hydrochloride. “Science" Po-
land (issue 11), Warsaw. 2019;77-83.

19. Mallidis C, Agbaje І, McClure N, Kliesch S. The 
influence of diabetes mellitus on male reproductive 
function: a poorly investigated aspect of male infer-
tility. Urologe. 2011;50 (1):33–37.

Received 26 Mar 2020; revised 07 Apr 2020;
accepted 29 May 2020.

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M.S. Hnatiuk et al.