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ORIGINAL ARTICLE10-06-2023
Quality of health care in Primary Care: perspective of people with Diabetes Mellitus
- Rosilene Rocha Palasson
, - Elisabete Pimenta Araújo Paz ,
- Gerson Luiz Marinho ,
- Luiz Felipe da Silva Pinto ,
- Elen Ferraz Teston , [ … ],
- Sonia Silva Marcon
Abstract
ORIGINAL ARTICLEQuality of health care in Primary Care: perspective of people with Diabetes Mellitus
Revista Brasileira de Enfermagem. 2023;76(5):e20230008
DOI 10.1590/0034-7167-2023-0008
- Rosilene Rocha Palasson ,
- Elisabete Pimenta Araújo Paz ,
- Gerson Luiz Marinho ,
- Luiz Felipe da Silva Pinto ,
- Elen Ferraz Teston ,
- Margareth de Almeida Gomes ,
- Maria Helena do Nascimento Souza ,
- Sonia Silva Marcon
Views0See moreABSTRACT
Objectives:
to identify how people with diabetes assess the care offered by Primary Care teams.
Methods:
a cross-sectional study based on structured interviews with the application of the Patient Assessment of Chronic Illness instrument to people with Type 2 Diabetes Mellitus. Data were submitted to statistical analysis.
Results:
451 individuals participated in the study, more than half aged 60 years or older (64.0%); 63.9% had been diagnosed for more than five years; and 23.9% used insulin. The average score obtained was 2.5, which indicated little involvement in self-care and low support for the care of the chronic condition by the Family Health Strategy team, and was higher among women and people with a partner.
Conclusions:
people with diabetes consider that they do not receive individualized treatment, with dialogue and discussion for setting goals, and that they are not prepared for self-managing their health condition.
- Rosilene Rocha Palasson
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ORIGINAL ARTICLE10-06-2023
Ethical problems in nursing teleconsultations for people living with HIV during the Covid-19 pandemic
- Ianka Cristina Celuppi ,
- Betina Hörner Schlindwein Meirelles ,
- Mariana Mendes ,
- Dulcinéia Ghizoni Schneider ,
- Denise Elvira Pires de Pires
Abstract
ORIGINAL ARTICLEEthical problems in nursing teleconsultations for people living with HIV during the Covid-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20220754
DOI 10.1590/0034-7167-2022-0754
- Ianka Cristina Celuppi ,
- Betina Hörner Schlindwein Meirelles ,
- Mariana Mendes ,
- Dulcinéia Ghizoni Schneider ,
- Denise Elvira Pires de Pires
Views0See moreABSTRACT
Objectives:
to understand the ethical problems experienced by primary health care nurses in using nursing teleconsultations for people living with the human immunodeficiency virus during the coronavirus pandemic.
Methods:
qualitative research, anchored in Constructivist Grounded Theory. Data was collected between July and September 2020, with 17 participants.
Results:
the first category highlights the ethical problems in conducting teleconsultations, managing high demand, communication barriers, and risks related to data security. The second emphasizes the potential of teleconsultations in communication and access, by generating changes in the work process and the use of protocols to guide clinical practice.
Conclusions:
nurses’ work in digital mode requires professional qualification, with a view to stimulating reflection on teleconsultation practice, ethical-moral deliberation and combating stigma, and also adopting data security-centered conduct.
- Ianka Cristina Celuppi
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Ethical dilemmas and illicit acts in nursing: reflections on the legal (dis)order
- Alex Coelho da Silva Duarte ,
- Sandra Conceição Ribeiro Chicharo ,
- Thiago Augusto Soares Monteiro da Silva ,
- Alexandre Barbosa de Oliveira
Abstract
Ethical dilemmas and illicit acts in nursing: reflections on the legal (dis)order
Revista Brasileira de Enfermagem. 2023;76:e20220558
DOI 10.1590/0034-7167-2022-0558
- Alex Coelho da Silva Duarte ,
- Sandra Conceição Ribeiro Chicharo ,
- Thiago Augusto Soares Monteiro da Silva ,
- Alexandre Barbosa de Oliveira
Views0See moreABSTRACT
Objectives:
to reflect on aspects of the legal system that involve situations of ethical dilemmas and illegal acts applied in legal proceedings related to nursing professionals.
Methods:
theoretical-reflective essay anchored in conceptions issued by a Brazilian nursing class body, based on technical opinions, in articulation with examples extracted from judges of the Superior Court of Justice.
Results:
the legal sources demonstrated the need to support nursing practices through a due and clear understanding of the notions addressed. Indeed, ethical dilemmas linked to professional practice usually refer to the psychological impact of having to act differently from what feels morally, ethically, or professionally appropriate.
Final Considerations:
the reflection was guided by conceptual and legal issues involving nursing practice, pointing to the need to monitor the effects of legal disorder caused by current legislation, which may have implications for the legal security of professionals.
- Alex Coelho da Silva Duarte
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ORIGINAL ARTICLE10-06-2023
Nursing students’ professional values for reinforcing the professional identity
- Chennyfer Dobbins Abi Rached ,
- Gleyciane Santos Vieira ,
- Flávio Adriano Borges Melo ,
- Mirian Cristina dos Santos Almeida ,
- Vera Lúcia Mira , [ … ],
- Nicole Yamada Crescente
Abstract
ORIGINAL ARTICLENursing students’ professional values for reinforcing the professional identity
Revista Brasileira de Enfermagem. 2023;76:e20220338
DOI 10.1590/0034-7167-2022-0338
- Chennyfer Dobbins Abi Rached ,
- Gleyciane Santos Vieira ,
- Flávio Adriano Borges Melo ,
- Mirian Cristina dos Santos Almeida ,
- Vera Lúcia Mira ,
- Herline Domercant ,
- Nicole Yamada Crescente
Views0ABSTRACT
Objectives:
to understand the nursing students’ professional values in different Brazilian universities and verify a correlation between the “Professional Value” and the sociodemographic variables.
Methods:
quantitative, cross-sectional, and descriptive study conducted through an electronic questionnaire with a Professional Values Scale (NPVS-3). Participants were Nursing students of all semesters from three universities – two in the Southeast region and one in the North region.
Results:
of the 337 participating Nursing students, 282 were female. The Caring dimension presented the highest score (mean=46.61), and Professionalism, the lowest score (mean=34.65). A statistically significant association was detected between the Caring dimension, “university where is attending,” and “gender.”
Conclusions:
the results indicate the Caring dimension as the one containing the most scored professional values since the nurses’ training, and the relation of those values in such dimension is more significant in the female sample.
Keywords:Code of EthicsKnowledge ManagementNursing EthicsNursing StudentsRole of the Nursing ProfessionalSee more - Chennyfer Dobbins Abi Rached
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EDITORIAL09-25-2023
Artificial intelligence as an ally in Brazilian nursing: challenges, opportunities and professional responsibility
Revista Brasileira de Enfermagem. 2023;76(3):e760301
Abstract
EDITORIALArtificial intelligence as an ally in Brazilian nursing: challenges, opportunities and professional responsibility
Revista Brasileira de Enfermagem. 2023;76(3):e760301
DOI 10.1590/0034-7167.2023760301
Views0The current state of nursing in Brazil presents complex challenges and opportunities that require innovative solutions. In this context, artificial intelligence (AI) emerges as a promising tool to address these challenges and seize opportunities. In particular, natural language processing models, such as OpenAI’s ChatGPT, demonstrate the potential to be valuable resources for nurses at all […]See more -
EDITORIAL09-25-2023
A inteligência artificial como aliada na enfermagem brasileira: desafios, oportunidades e responsabilidade profissional
Revista Brasileira de Enfermagem. 2023;76(3):e760301
Abstract
EDITORIALA inteligência artificial como aliada na enfermagem brasileira: desafios, oportunidades e responsabilidade profissional
Revista Brasileira de Enfermagem. 2023;76(3):e760301
DOI 10.1590/0034-7167.2023760301pt
Views0O estado atual da enfermagem no Brasil apresenta desafios e oportunidades complexas que requerem soluções inovadoras. Nesse contexto, a inteligência artificial (IA) surge como uma ferramenta promissora para enfrentar esses desafios e aproveitar as oportunidades. Em particular, os modelos de processamento de linguagem natural, como o ChatGPT da OpenAI, demonstram potencial para serem recursos valiosos […]See more -
ORIGINAL ARTICLE09-18-2023
Vaccination coverage in children under one year of age and associated socioeconomic factors: maps of spatial heterogeneity
- Matheus Adriano Divino Pereira ,
- Luis Henrique Arroyo ,
- Maria Del Pilar Serrano Gallardo ,
- Ricardo Alexandre Arcêncio ,
- Josianne Dias Gusmão , [ … ],
- Eliete Albano de Azevedo Guimarães
Abstract
ORIGINAL ARTICLEVaccination coverage in children under one year of age and associated socioeconomic factors: maps of spatial heterogeneity
Revista Brasileira de Enfermagem. 2023;76(4):e20220734
DOI 10.1590/0034-7167-2022-0734
- Matheus Adriano Divino Pereira ,
- Luis Henrique Arroyo ,
- Maria Del Pilar Serrano Gallardo ,
- Ricardo Alexandre Arcêncio ,
- Josianne Dias Gusmão ,
- Gabriela Gonçalves Amaral ,
- Valéria Conceição de Oliveira ,
- Eliete Albano de Azevedo Guimarães
Views0See moreABSTRACT
Objective:
to analyze vaccination coverage spatial distribution in children under one year old and the socioeconomic factors associated with meeting the recommended goals in Minas Gerais.
Methods:
an ecological study, carried out in 853 municipalities in the state. Pentavalent, poliomyelitis, meningococcal conjugate, yellow fever, rotavirus, and 10-valent pneumococcal conjugate vaccination coverage were analyzed. Scan statistics and multiple logistic regression were performed to identify spatial clusters and factors associated with meeting coverage goals.
Results:
spatial analysis revealed clusters with risk of low coverage for all vaccines. Number of families with per capita income of up to 1/2 wage, Minas Gerais Social Responsibility Index and percentage of the poor or extremely poor population were associated with meeting the established goals.
Conclusions:
the results are useful for designing interventions regarding the structuring of vaccination services and the implementation of actions to increase vaccination coverage in clusters with less propensity to vaccinate.
- Matheus Adriano Divino Pereira
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ORIGINAL ARTICLE09-04-2023
Impact of an educational intervention on standard precautions during the COVID-19 pandemic
- Natália Liberato Norberto Angeloni ,
- Maria Heloísa do Nascimento Silva ,
- Lomberto Ariel Romeu Valle ,
- Álvaro Francisco Lopes Sousa ,
- Marília Duarte Valim , [ … ],
- Aires Garcia dos Santos Junior
Abstract
ORIGINAL ARTICLEImpact of an educational intervention on standard precautions during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76(4):e20220750
DOI 10.1590/0034-7167-2022-0750
- Natália Liberato Norberto Angeloni ,
- Maria Heloísa do Nascimento Silva ,
- Lomberto Ariel Romeu Valle ,
- Álvaro Francisco Lopes Sousa ,
- Marília Duarte Valim ,
- Denise de Andrade ,
- Inês Fronteira ,
- Aires Garcia dos Santos Junior
Views0See moreABSTRACT
Objective:
To evaluate the impact of an educational intervention on the knowledge of nursing professionals regarding standard precautions.
Methods:
This is an almost experimental study conducted with 100 nursing professionals. Data collection was performed using a sociodemographic characterization instrument and the Standard Precautions Knowledge Questionnaire. The educational intervention was based on five moments, where the approach to questions with less than 70% accuracy was intensified.
Results:
There was a significant difference between the scores of healthcare professionals before (16.20 ± 1.51) and after (16.90 ± 1.31) the educational intervention (W=3.336; p < 0.05). Regarding knowledge about hand hygiene after glove use, an increase in knowledge from 83% to 93% was obtained.
Conclusions:
A positive effect on the professionals’ knowledge was recorded, demonstrating advances regarding the strengthening of already acquired knowledge and the understanding of new knowledge.
- Natália Liberato Norberto Angeloni
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ORIGINAL ARTICLE11-10-2022
Effect of educational video on newborn care for the knowledge of pregnant and postpartum women and their families
- Leilane Barbosa de Sousa ,
- Hévila Ferreira Gomes Medeiros Braga ,
- Aynoan de Sousa Amaro Alencastro ,
- Maria Jocelane Nascimento da Silva ,
- Brena Shellem Bessa de Oliveira , [ … ],
- Emanuella Silva Joventino Melo
Abstract
ORIGINAL ARTICLEEffect of educational video on newborn care for the knowledge of pregnant and postpartum women and their families
Revista Brasileira de Enfermagem. 2022;75:e20201371
DOI 10.1590/0034-7167-2020-1371
- Leilane Barbosa de Sousa ,
- Hévila Ferreira Gomes Medeiros Braga ,
- Aynoan de Sousa Amaro Alencastro ,
- Maria Jocelane Nascimento da Silva ,
- Brena Shellem Bessa de Oliveira ,
- Lydia Vieira Freitas dos Santos ,
- Emanuella Silva Joventino Melo
Views0See moreABSTRACT
Objectives:
to evaluate the effect of educational video on newborn care to increase the knowledge of pregnant, postpartum, and family members.
Methods:
a quasi-experimental study, with pre-intervention and post-intervention evaluation with a single group. Fifty-eight pregnant, postpartum, and family members treated in basic health units and a hospital in Ceará, Brazil, participated. The study used the McNemar and binomial tests for the analysis.
Results:
after the intervention, there was an increase in the frequency of hits, from 70.82% to 92.97%. Most of the questions presented a significant increase of hits (p < 0.05) with an emphasis on sleeping position, drying of clothes, free demand for breastfeeding, and things to avoid (such as accessories in the sleeping place and talc in diaper change).
Conclusions:
the educational video was effective to participants in acquiring knowledge on the care of newborns and can assist in health education activities carried out by nurses.
- Leilane Barbosa de Sousa
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EDITORIAL08-01-2022
Monkeypox: between precision public health and stigma risk
Revista Brasileira de Enfermagem. 2022;75(5):e750501
Abstract
EDITORIALMonkeypox: between precision public health and stigma risk
Revista Brasileira de Enfermagem. 2022;75(5):e750501
DOI 10.1590/0034-7167.2022750501
Views0The World Health Organization (WHO) is on alert due to an unprecedented Monkeypox outbreak in non-endemic countries, such as Europe, which have been affected recently. Despite the low pandemic potential, the recent SARS-CoV-2 pandemic has contributed to heightened levels of public concern in the face of the threat of new global health emergencies().As of May […]See more -
ORIGINAL ARTICLE11-06-2020
Digital inclusion and Internet use among older adults in Brazil: a cross-sectional study
- Jamylle Lucas Diniz ,
- Andréa Carvalho Araújo Moreira ,
- Iane Ximenes Teixeira ,
- Samir Gabriel Vasconcelos Azevedo ,
- Cibelly Aliny Siqueira Lima Freitas , [ … ],
- Iasmin Cunha Maranguape
Abstract
ORIGINAL ARTICLEDigital inclusion and Internet use among older adults in Brazil: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20200241
DOI 10.1590/0034-7167-2020-0241
- Jamylle Lucas Diniz ,
- Andréa Carvalho Araújo Moreira ,
- Iane Ximenes Teixeira ,
- Samir Gabriel Vasconcelos Azevedo ,
- Cibelly Aliny Siqueira Lima Freitas ,
- Iasmin Cunha Maranguape
Views0See moreABSTRACT
Objectives:
To describe the profile of Brazilian older adults who use the Internet, the means of Internet access and the purpose of Internet use and to verify the existence of association between socio-demographic variables and variables related to Internet use.
Method:
Cross-sectional study with Brazilian older adults who used the social networks Facebook and WhatsApp. Descriptive, univariate, and bivariate analysis were conducted.
Results:
384 older adults participated in the study, mostly women (52.08%), with a mean age of 64.6 years old and who used the Internet to address health concerns (65.36%). The main activities on the internet were reading, listening to music, playing games, watching videos and photos (37.30%). The main benefits pointed out were interaction (74.5%), learning (19.2%) and entertainment (19.25%). There were statistically significant differences between time spent online and the variables gender, age, and civil status.
Conclusion:
This study showed characteristics of older adults who use the Internet and revealed the possibility of using digital technologies to optimize health care for this population.
- Jamylle Lucas Diniz
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ORIGINAL ARTICLE03-30-2020
Clinical simulation in teaching Pediatric Nursing: students’ perception
- Mayara Gombrade Teles ,
- Ana Márcia Chiaradia Mendes-Castillo ,
- Ana Railka de Souza Oliveira-Kumakura ,
- Juliany Lino Gomes Silva
Abstract
ORIGINAL ARTICLEClinical simulation in teaching Pediatric Nursing: students’ perception
Revista Brasileira de Enfermagem. 2020;73(2):e20180720
DOI 10.1590/0034-7167-2018-0720
- Mayara Gombrade Teles ,
- Ana Márcia Chiaradia Mendes-Castillo ,
- Ana Railka de Souza Oliveira-Kumakura ,
- Juliany Lino Gomes Silva
Views0See moreABSTRACT
Objectives:
to comprehend the perception of undergraduate nursing students about learning to care for the child and family through clinical simulation.
Methods:
this is a qualitative research conducted with ten nursing students through semi-structured interviews. Data were analyzed through content analysis.
Results:
data were organized into two categories: “learning a new way to learn,” in which students describe their experiences during the simulation, and “learning a new way to care,” in which they reflect on learning through simulation.
Final considerations:
we believe that clinical simulation practice in teaching should be encouraged because of the benefits it can offer to the students, faculty, patients and their families. However, we recommend further studies to validate scenarios of child and family healthcare.
- Mayara Gombrade Teles
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ORIGINAL ARTICLE11-02-2020
Transitional care from hospital to home for older people: implementation of best practices
- Maria Fernanda Baeta Neves Alonso da Costa ,
- Karina Sichieri ,
- Vanessa de Brito Poveda ,
- Cleide Maria Caetano Baptista ,
- Priscila Cantoni Aguado
Abstract
ORIGINAL ARTICLETransitional care from hospital to home for older people: implementation of best practices
Revista Brasileira de Enfermagem. 2020;73:e20200187
DOI 10.1590/0034-7167-2020-0187
- Maria Fernanda Baeta Neves Alonso da Costa ,
- Karina Sichieri ,
- Vanessa de Brito Poveda ,
- Cleide Maria Caetano Baptista ,
- Priscila Cantoni Aguado
Views0See moreABSTRACT
Objective:
to assess the conformity of nursing care concerning best evidence in transitional care from hospital to home for older people.
Methods:
a project to implement best evidence based on the model proposed by the Joanna Briggs Institute in surgical clinic of a university hospital with older people, caregivers or family members, and nurses, between July and August 2019. Eight evidence-based criteria have been audited through interviews, medical records and computerized system, presented in percentages.
Results:
the highest non-compliance rate found in a baseline audit was absence of continued training on transitional care and hospital discharge plan. Identifying barriers to best practices included educational programs; afterwards, there was an improvement in compliance rates in all the criteria assessed.
Final considerations:
the criteria based on audited evidence showed an increase in compliance rates with the strategies implemented, contributing to improving transitional care for older people.
- Maria Fernanda Baeta Neves Alonso da Costa
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ORIGINAL ARTICLE10-18-2022
Methodological path to reach the degree of saturation in qualitative research: grounded theory
- Cleson Oliveira de Moura ,
- Ítalo Rodolfo Silva ,
- Thiago Privado da Silva ,
- Karoliny Alves Santos ,
- Maria da Conceição Albernaz Crespo , [ … ],
- Marcelle Miranda da Silva
Abstract
ORIGINAL ARTICLEMethodological path to reach the degree of saturation in qualitative research: grounded theory
Revista Brasileira de Enfermagem. 2022;75(2):e20201379
DOI 10.1590/0034-7167-2020-1379
- Cleson Oliveira de Moura ,
- Ítalo Rodolfo Silva ,
- Thiago Privado da Silva ,
- Karoliny Alves Santos ,
- Maria da Conceição Albernaz Crespo ,
- Marcelle Miranda da Silva
Views0See moreABSTRACT
Objectives:
to achieve the degree of saturation in study that applied the grounded theory.
Methods:
qualitative research, carried out in four Family Health Units, between June 2018 and May 2019. The data from the interviews with 30 health professionals and non-participant observation were coded in the stages: open, axial and integration.
Results:
the degree of saturation was achieved by two conceptual models – theoretical saturation and inductive thematic. Theoretical saturation was considered: the development of conceptual codes and observation, in the collection and analysis of data, when they generated new categories/subcategories or only indicated increasing instances. For thematic inductive saturation, the use of new codes based on each interview stood out.
Final Considerations:
the visual layout for the number of codes, the theoretical scope of the concepts and the delimitation of the sample groups guided the identification of the degree of saturation for the development of the conceptual body that supported the substantive theory.
- Cleson Oliveira de Moura
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ORIGINAL ARTICLE10-21-2019
Practice challenges in patient safety
- Andréia Guerra Siman ,
- Luciene Muniz Braga ,
- Marilane de Oliveira Fani Amaro ,
- Maria José Menezes Brito
Abstract
ORIGINAL ARTICLEPractice challenges in patient safety
Revista Brasileira de Enfermagem. 2019;72(6):1504-1511
DOI 10.1590/0034-7167-2018-0441
- Andréia Guerra Siman ,
- Luciene Muniz Braga ,
- Marilane de Oliveira Fani Amaro ,
- Maria José Menezes Brito
Views0See moreABSTRACT
Objective:
to understand the professional practice challenges in reaching the goals and objectives of the National Patient Safety Program (Programa Nacional de Segurança do Paciente).
Method:
qualitative case study, based on the Comprehensive Sociology, carried out with 31 professionals from the Patient Safety Center (Núcleo de Segurança do Paciente) and the nursing team, working in a teaching hospital. Data collection took place between May and December 2015 through interviews, observation and documentary analysis. The analysis proceeded according to the prerogatives of the Content Analysis.
Results:
three categories emerged: the prescribed reality; material resources and their impact on care; and human resources related to the reality.
Final considerations:
challenges to safe professional practice are caused by inadequate physical structure, insufficient physical and human resources, but mainly invade the transition from the prescriptive reality scope.
- Andréia Guerra Siman
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RESEARCH01-24-2017
Nurses in the labor market: professional insertion, competencies and skills
Revista Brasileira de Enfermagem. 2017;70(6):1220-1226
Abstract
RESEARCHNurses in the labor market: professional insertion, competencies and skills
Revista Brasileira de Enfermagem. 2017;70(6):1220-1226
DOI 10.1590/0034-7167-2016-0061
Views0See moreABSTRACT
Objective:
to characterize nurses graduated from the School of Nursing of the University of São Paulo, from 2006 to 2012; verify their entry, facilitating factors and difficulties of these graduates in the labor market and to consider their skills and competences in the world of work.
Method:
an exploratory, descriptive study with a qualitative approach.
Results:
out of 505 graduates, 172 (34.1%) participated in the research. Entry into the labor market was mainly via public hospital institutions, in the SE of Brazil, in the caregiving sectors. The greater part remained from one to two years in their first job. Most agreed that they were prepared to meet the health needs of the population. Furthermore, they had been encouraged to seek systematic and continuous improvement in a critical, reflexive and creative way, while combining technical-scientific knowledge and personal skills.
Conclusion:
the results show that the University of São Paulo has been preparing nurses for work in the labor market, in accordance with the provisions of the National Curricular Guidelines.
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