CINXE.COM

<!DOCTYPE html><html lang="en-US"><head><title>Just a moment...</title><meta http-equiv="Content-Type" content="text/html; charset=UTF-8"><meta http-equiv="X-UA-Compatible" content="IE=Edge"><meta name="robots" content="noindex,nofollow"><meta name="viewport" content="width=device-width,initial-scale=1"><style>*{box-sizing:border-box;margin:0;padding:0}html{line-height:1.15;-webkit-text-size-adjust:100%;color:#313131;font-family:system-ui,-apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica Neue,Arial,Noto Sans,sans-serif,Apple Color Emoji,Segoe UI Emoji,Segoe UI Symbol,Noto Color Emoji}body{display:flex;flex-direction:column;height:100vh;min-height:100vh}.main-content{margin:8rem auto;max-width:60rem;padding-left:1.5rem}@media (width <= 720px){.main-content{margin-top:4rem}}.h2{font-size:1.5rem;font-weight:500;line-height:2.25rem}@media (width <= 720px){.h2{font-size:1.25rem;line-height:1.5rem}}#challenge-error-text{background-image:url(data:image/svg+xml;base64,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);background-repeat:no-repeat;background-size:contain;padding-left:34px}@media (prefers-color-scheme:dark){body{background-color:#222;color:#d9d9d9}}</style><meta http-equiv="refresh" content="120"></head><body class="no-js"><div class="main-wrapper" role="main"><div class="main-content"><noscript><div class="h2"><span id="challenge-error-text">Enable JavaScript and cookies to continue</span></div></noscript></div></div><script>(function(){window._cf_chl_opt={cvId: '3',cZone: "publications.waset.org",cType: 'non-interactive',cRay: '9135443fdeaf3dad',cH: 'KWf_aOii1JqJDC77gOBj4uIPKxaZEW8KaIeBZZo2dwg-1739789951-1.2.1.1-EtalJ66u_yw19KD9WdXnp6H9RholfvIFBH_oeP9UyG5J3NeLFqqXwaBvf_YIyHA1',cUPMDTk: "\/abstracts\/search?q=silent%20disease&__cf_chl_tk=_q48YB5U0TBbgXCnfPi9QHDC1YX2ektjplZ_.mm_tCo-1739789951-1.0.1.1-BYG0L9p.UDk9aKXn8YvXSJAW6XPbDBSIy98cfB8yjrk",cFPWv: 'b',cITimeS: '1739789951',cTTimeMs: '1000',cMTimeMs: '120000',cTplC: 0,cTplV: 5,cTplB: 'cf',cK: "",fa: "\/abstracts\/search?q=silent%20disease&__cf_chl_f_tk=_q48YB5U0TBbgXCnfPi9QHDC1YX2ektjplZ_.mm_tCo-1739789951-1.0.1.1-BYG0L9p.UDk9aKXn8YvXSJAW6XPbDBSIy98cfB8yjrk",md: "t0iFIfEtORf86Bk5h3zgv3YmhGeqfQzgVfLGj6YCXTI-1739789951-1.2.1.1-SAjPJo9YUxCWJ6ytd81LcFwMpjvKbFvkWfL15nxdjF9FrJ5H68XUqpfaxG6d8PER2RdJn_y2_P0ID3Ss2BGP1bWoGaD..zkYqsOp9uGTwqPsqxJraRkJrdrDLrr.v8NYECQtVQ6aYr.Rtmg9NpysLk0T.gTsxQNuN580WtPWJTiGgSpf6BZiVnvBMo9a3eqoHsRj4U5wrW2SFicukeqjBejTLYrYyMAOuQltVat_8AP069drCaLqr8nIOjUCGKCLj.ljCFaMZ6Gpl5fy1GJp9vOb.2sVpJ881OdwiOFVXVXazeVZUQbbsGOEoRzsUBP8SfHYgBhABtYbVfZQ6hYd0WDAlAGAflo8lqBuxqPg9Ylxp8pLrPcZczXJ.TWiOtlKsa.OauXWfnug0if804OFI5OUr2SnkBF8wNfiVEHUvqLw4fMp5zqj_aVWkS.HUyA4LgBfPP6wFIXD.96rFekRA4h0x4byqQDX2fVaA8it2sk0dzGbIEdfNp9cWBJTfoFBwBHj8QFAu.QL4VGSxHSrhzp.3TrtkB7orjMBNxTk6j8Vq7NiBpxdlHrhhCR7pruB1dovAJCugPxqtTigkG90qa3hFNM1doulWeNj6jkpGm97cqxPEqHXRdUJSjfb_.NUTAt_QqFixjsOFVbqdyZNlrzhOgcujkoeZbXwrSJaH7NIE9tq1OFjN.qH_dJiVnBqezwLAS4n_zzZCrs6Ljg.TctMAPyz2vRXw0MUf6NmpcP.lfoB8Hl2R82r8CsICp71CCbHPBaBZxSgf3NMLcUsJb63MaCauHCRiIm43ZOCWmcMpoK9KSzpwA6UMJpz1s9FeA1MrdMo2vA6A.exr3pAmEIl.8cCEyHfKDbxyBrpbOx4yiXcavLQZ2e44dHKF8LGxxtJ9RHF.8JJKIxv5SAGVpBnxNK8sK3wpqEoWhY6zXZI6UbynMc9CKkdcqqwPPTkPYrqFS6wYjv_GL2jBA6aAhH5eE1fRYQm2UT5V7aVrcLQLOLoBmfK_FeaMW7fHQb.AHJNq7KhaOFyG.7uRyKKcYaKvGW.pCgFCrtk3ClRc85S1oynb03r73lGRGztf_ag3gKeKMRjRwnT3jTbp6mXFBHDbDHue3z2WnBSJ6aRzce9XSSogN2jrlGW5t2acLb1tACK4tGArZsXme1kq1Wyp48E1.1gbo1nd0kMiu13fZTT53QjM0nF.LpgbAXqi0GD4q7qEBEiA51UGVnRSDQIkghzZAemVzpWwq_JzdVNvxZ.m.kCEEw0uqMaTKmx4snN39Icx2NVckwUDdo6rzx7dYhWdTjiu8ZbV5Hq25Ee5MgG979eEuRpON0cDGFNaz9T.sidHTp5jDBk6FAfVMKYRVHsIWOoUQa5P5Leto1TRbI.RxFx8Of6vSIEmLXbKyIniyoR8xOUEBnwqMOnj1HCE6uOOM2GTmg51YbUkLSq0ZdjekQwtmsjWMOnYieTg5eZre7hVKc0cY49jODfGoWNgqCWde3iS1HrsMxOtZAu9yEAEubSoYqOA6y62I8DJzyp1IqmF8LKF9WW77jGS7mQAcmDo5m.IwtaKq0dcrdoLDEY1kqvOPLcruSU3KCtQalIMHj1Qbaxxl3TSoIWbBuk9p2H__Yn_9Gk3DcTECUkD.B4hScbkK_.282lnwjI3Rjx2FWq6tvifo9fPdRS.JZ8j2Q5Ak_xo1f2vl0bTkAwv0.RAugnrX8XiVGvsqSkzqiz7xWEzU_4_d0XBDlqAMFCjMnQtQlIBUKipq6hHLQUaRkDoFUeI1iSL3N4vsBys0Bz2h3fB5guO.ZJLg1yGwDtS.hHnJKD4flxF8OHtWudNHKQN3Xnp06AJOhdRMuZuMw1XGFt_n6sxlmnsA0YLTEx8hSytIJPn3e6Fo.EjqIS4i8.If4jGaKSG3qFwx5117xfsxmKW1IwyJk.CbFUnfBbEewrMpzvi7tSB5UHnK5FlEg",mdrd: "KDwL0U9X0YV9SyQ6KK8dB6E6unXfOiaVoUlVYq078go-1739789951-1.2.1.1-XsauI5AwU0rHQyxzNz_5lPSRcFPhHGMylcsr56_SO20FSZmrl86S0RHkUI_6yCYBl44IruA3ycB_MVQHZIrPXj4Mo9WP8TWDgpYoGJSFK7Iz5Nlx3XrCY9aOMO.2nb7toThTfmMRl1OAdVfgLjLO7MYTI3ctidRtF8PTxZnff8dnux0TGCmJHWmNBrelc0zyLunUj8Lv42rApFS.OygWMj7pSEbNQ8Mcut.GoD_Ex4y6OA9rv7UFL7Fppwy0IFP4zl4yShuKzbOXhLvkg_R1wDRQSf04kyjp8LlxSkxOftykDVSH_4xITIjSyOay6Q7519ALWrMcOC7NIXQIljgHzo7LgiDsIpPxtOzSFl7sDFJAh.S8XtvYohvkJIyBcsyg0vMo5ePX.g5g_0_4czA23Mr_79qcHdfblTu_rZD2enwP1oiF50.g5Lztjm3toaulXWTzEMeUzF2k7G7MzjDBhO2O.PLy6V44qlELz7FjcrCK3aLfVYrxdBxOwnQdQjM0qMGq0bHNa5yU6N7saOsxzKujVzrp2Wc1nXWFkpE5BRIMTxZyfUVmO0JelxBKUmInrdOKWT_Tn7aSD.ZGbww217A.cyRn9S2nu7kWEzW6ZoJcj.fJctufVV9EodLnRFpMZCPgV9hAqiehSv0Ql4dzRIw9_UlBMzYM65iUtDZmhRbMFJkHtWrJbBTIQnnfDSWXQrDq3KNHOxBU3NDixsPejliJHaGf8vv8amKZilZ9NhA47.WqBGScqWCqTx7N2tYTZv2KWloDSJmx23URGa6KEv1rHB5uw3Q2TwkMDHMJZnHLifH_LVO6whW7HgGKHOsObw9IuC2fnqStE6tDHwIStO3jV7BvCZWtFD9uJ2iTnmRpSnmL343LfdADvXh2WSJEi5dlInoBucOk_Q9cfcHlN3ptllCMITeVFSZUgEX_ptcGw6HQM6JiDC21shSPzYFAL5BLi8aheFQx7OVfwpu_hTNLbI7._qYIaCxYW8a_Xzdf9ps93qm54xzSMjdW0wE6oc1mcuYY21LlXxHkR7vqmLHtQT_xQzpexUcW_RDxM6MD7tNj4c8KgzU1rIxdAzlIflWTRBqFcxREdhNEvVA1g8xcoePvSJugLnifIHiRe1tTo.NSRAVXti7TmJ_8KD1Pt2EvxexoghhvS.s3RVbFes2w8CubX5ymXu1u8gso.Fd7ZNqhdmtT4nLYXM4Vyw9oEpA0N5mJP5ExIjkASfccpLPCeFbqBCTsFkGwrUyFOj9S2OTiMqX_Nd7Ods9Vc9ydhEwuFj_8KUjqIkaLQGMIs4P6BrxUb9wmWF1EDfs8RGq4qypz8YYabOakbUeVNl7ajckdIaBZwwU83l4B4zcYgqvDBdt29AjCgXjOPcmt6A04b3r4GzXscc9TAAZtu6G76gfwEsO5.LHgsA7HNFq05yaJrOzEPOGRI4WBPjfuxDAatxGXaaPW4VC0SgN2nlWsejbkpxU8ekhhlqsvFSCVBMnfJJka7wTxesaX1EzrR1p3sspSSQWYl58ApjoY9POnvDVe1e.8O4uqAh_08Z9xcn.R7I4RmpF_WfDDuKfRzk0yufleDE6OKqkZnuCwJuFKGjCbluVS23Q.vamp2UE53eWAWEAWOsKHaGOk1PHxSlLsTCG7IAW6MpDflHx3H8Xz3QDuYjxw2oApnRGG3.hv__YlWQLtAB0ARRSH8nYgbOjjWW5TAXAQO9WDp6vdvLZMD9IDM.B_Q1HXM8Na9Ho971reeF9GRHaQ6XcuAWFQrfy5yTLclt8G.RdTYI7kpYyjxxNkjOPq097YqRCZQy0F3AwQ0aMX0Aqopg1NK0l1gthK4kkCtq2918zxny43HQ8R2E3Ysu1BbhdXjQyTBDu0Ecfc3TdwNz6ynquMBc32SAs_rXIx_26cfnNKupDUltEawK.EDtXRJ3JSoohd1iFDOCHijkRQMnbg6AzmXGiR0MLa1NdKPeI.nLVMKqSrqZLv"};var cpo = document.createElement('script');cpo.src = '/cdn-cgi/challenge-platform/h/b/orchestrate/chl_page/v1?ray=9135443fdeaf3dad';window._cf_chl_opt.cOgUHash = location.hash === '' && location.href.indexOf('#') !== -1 ? '#' : location.hash;window._cf_chl_opt.cOgUQuery = location.search === '' && location.href.slice(0, location.href.length - window._cf_chl_opt.cOgUHash.length).indexOf('?') !== -1 ? '?' : location.search;if (window.history && window.history.replaceState) {var ogU = location.pathname + window._cf_chl_opt.cOgUQuery + window._cf_chl_opt.cOgUHash;history.replaceState(null, null, "\/abstracts\/search?q=silent%20disease&__cf_chl_rt_tk=_q48YB5U0TBbgXCnfPi9QHDC1YX2ektjplZ_.mm_tCo-1739789951-1.0.1.1-BYG0L9p.UDk9aKXn8YvXSJAW6XPbDBSIy98cfB8yjrk" + window._cf_chl_opt.cOgUHash);cpo.onload = function() {history.replaceState(null, null, ogU);}}document.getElementsByTagName('head')[0].appendChild(cpo);}());</script></body></html>