Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE06-14-2024

    Mid-range theory of the nursing diagnosis Overweight

    Revista Brasileira de Enfermagem. 2024;77(2):e20230372

    Abstract

    ORIGINAL ARTICLE

    Mid-range theory of the nursing diagnosis Overweight

    Revista Brasileira de Enfermagem. 2024;77(2):e20230372

    DOI 10.1590/0034-7167-2023-0372

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    ABSTRACT

    Objective:

    To build a mid-range theory for the nursing diagnosis Overweight in adolescents and young adults.

    Methods:

    A methodological study in the light of the theoretical frameworks of Roy and of Lopes, Silva and Herdman. A total of 3,925 articles were retrieved and assessed using the State of the Art Through Systematic Review software. The final sample consisted of 28 articles.

    Results:

    The findings converged to 3 essential attributes, 13 antecedents, and 7 consequences. A mid-range theory was built consisting of an illustrated diagram, 11 propositions, and 12 causal relationships.

    Final considerations:

    From the creation of the theory, it was possible to better understand the nursing diagnosis Overweight within the context of adolescents and young adults. Understanding nursing phenomena contributes to nursing science’s advancement and strengthening.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Mid-range theory of the nursing diagnosis Overweight
  • ORIGINAL ARTICLE06-14-2024

    The (in)visibility of fibromyalgia through its symptoms and the challenges of its diagnosis and therapy

    Revista Brasileira de Enfermagem. 2024;77(2):e20230363

    Abstract

    ORIGINAL ARTICLE

    The (in)visibility of fibromyalgia through its symptoms and the challenges of its diagnosis and therapy

    Revista Brasileira de Enfermagem. 2024;77(2):e20230363

    DOI 10.1590/0034-7167-2023-0363

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    ABSTRACT

    Objective:

    To analyze the social representations of fibromyalgia based on its symptoms and their influences on diagnosis and therapy.

    Methods:

    Qualitative research with the application of the Theory of Social Representations and snowball sampling method. Semi-structured interviews were conducted with 30 adults diagnosed with fibromyalgia in the city of Rio de Janeiro, Brazil, between April 2020 and January 2021. Statistical and lexicographical analysis was performed using Alceste software.

    Results:

    Pain, as a subjective phenomenon, complicates its legitimacy, diagnosis, and therapy, enhancing suffering. Insufficient information generates judgments, stereotypes, and prejudices.

    Final Considerations:

    Stigmas, prejudices, the variety and invisibility of symptoms make it difficult to objectify the disease within the Cartesian-biomedical frameworks, generating diagnostic pilgrimage, mistakes, and challenges in treatment. Such representations hinder relationships and the management of the disease. Deconstructing them is a way to better care for those with fibromyalgia. Raising awareness and spreading qualified information are important allies.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 06-14-2024

    Duração e qualidade do sono da equipe de enfermagem brasileira que trabalha em turnos

    Revista Brasileira de Enfermagem. 2024;77(2):e20230167

    Abstract

    Duração e qualidade do sono da equipe de enfermagem brasileira que trabalha em turnos

    Revista Brasileira de Enfermagem. 2024;77(2):e20230167

    DOI 10.1590/0034-7167-2023-0167

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    RESUMEN

    Objetivo:

    analizar la duración y calidad del sueño en profesionales de enfermería que trabajan por turnos.

    Método:

    investigación analítica, transversal, realizada entre septiembre de 2017 y abril de 2018, en un hospital público del sur de Brasil, con el equipo de enfermería. Se utilizó el cuestionario sociolaboral y de síntomas de salud, la Escala de Somnolencia de Epworth y el Índice de Calidad del Sueño de Pittsburgh. Los datos se presentan como estadística descriptiva e inferencial, análisis bivariado y regresión logística binaria.

    Resultados:

    participaron 308 profesionales de enfermería, con predominio de sueño prolongado, ausencia de somnolencia y mala calidad del sueño. La duración corta del sueño (<6 h) se asoció con turnos de día y mala calidad del sueño. La calidad del sueño se asoció con la presencia de somnolencia diurna excesiva y con el trabajo diurno.

    Conclusión:

    los turnos de trabajo, el insomnio y la cefalea fueron los principales factores relacionados con la falta de sueño de los profesionales de enfermería. Los resultados pueden justificar el desarrollo de investigaciones de intervención para la salud de los trabajadores.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ERRATUM06-14-2024

    ERRATUM

    Revista Brasileira de Enfermagem. 2024;77(2):e2024n2e05

    Abstract

    ERRATUM

    ERRATUM

    Revista Brasileira de Enfermagem. 2024;77(2):e2024n2e05

    DOI 10.1590/0034-7167.20247702e05

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    In the article “Educational technologies used to promote self-care for people with diabetes mellitus: integrative review”, with DOI number: , published in Revista Brasileira de Enfermagem, 2023;76(Suppl 4):e20230049, in the title:Where it read:[…]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ERRATUM06-14-2024

    ERRATUM

    Revista Brasileira de Enfermagem. 2024;77(2):e2024n2e06

    Abstract

    ERRATUM

    ERRATUM

    Revista Brasileira de Enfermagem. 2024;77(2):e2024n2e06

    DOI 10.1590/0034-7167.20247702e06

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    In the article “Is there scientific relevance to the plot of films and documentaries about eating disorders?”, with DOI number: , published in Revista Brasileira de Enfermagem, 2024;77(1):e20220547, page 7:Where it read:[…]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE06-14-2024

    Functional performance assessment scale for children and adolescents with cancer: cross-cultural study

    Revista Brasileira de Enfermagem. 2024;77(2):e20230331

    Abstract

    ORIGINAL ARTICLE

    Functional performance assessment scale for children and adolescents with cancer: cross-cultural study

    Revista Brasileira de Enfermagem. 2024;77(2):e20230331

    DOI 10.1590/0034-7167-2023-0331

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    ABSTRACT

    Objectives:

    to describe the methodological process of cross-cultural adaptation of the PlayPerformance Scale for Children to Brazilian Portuguese.

    Methods:

    methodological study of translation and cross-cultural adaptation in six stages: translation, synthesis of translations, back-translation, evaluation by a committee of judges, evaluation by expert nurses, and pretest. The agreement and representativeness of the items were assessed using the content validity index. A minimum value of 80% agreement was considered.

    Results:

    all stages of the translation and cross-cultural adaptation process were satisfactory. In the evaluation performed by the committee of judges, all items obtained agreement above 80%. Fifteen pediatric nurses conducted the content validation, suggesting necessary modifications for understanding and application. Thirty children and adolescents with cancer were assessed with the scale for the pre-test.

    Conclusions:

    the scale was cross-culturally adapted to Brazilian Portuguese. The need for psychometric testing in a consistent sample is emphasized.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE06-14-2024

    Translation and Cross-Cultural Adaptation of the LYMPH-ICF Instrument for Lymphedema into Portuguese/Brazil

    Revista Brasileira de Enfermagem. 2024;77(2):e20230137

    Abstract

    ORIGINAL ARTICLE

    Translation and Cross-Cultural Adaptation of the LYMPH-ICF Instrument for Lymphedema into Portuguese/Brazil

    Revista Brasileira de Enfermagem. 2024;77(2):e20230137

    DOI 10.1590/0034-7167-2023-0137

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    ABSTRACT

    Objective:

    The aim of this study is to cross-culturally adapt the Lymphoedema Functioning, Disability and Health Questionnaire Lymphoedema (LYMPH-ICF) instrument into Brazilian Portuguese and conduct a pilot application (n = 10), without psychometric pretensions.

    Method:

    Methodological research was conducted, following the steps of translation, synthesis, back-translation, and evaluation by the expert committee. Two translators, two back-translators, and twelve professionals participated in the expert committee. A pretest was carried out with 10 patients with secondary lymphedema due to breast cancer. The degree of agreement was determined by the content validity coefficient.

    Results:

    It was necessary to modify 8 out of the 29 questions comprising the questionnaire, which exhibited idiomatic disagreement. However, despite these changes, there were no indications of impairments, as content reliability was achieved through a validity coefficient of 0.90.

    Final Considerations:

    The instrument was successfully translated and cross-culturally adapted for Brazil with a high level of agreement.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Translation and Cross-Cultural Adaptation of the LYMPH-ICF Instrument for Lymphedema into Portuguese/Brazil
  • REVIEW06-14-2024

    Lean and/or Six Sigma for process optimization in the perioperative period: an integrative review

    Revista Brasileira de Enfermagem. 2024;77(2):e20230431

    Abstract

    REVIEW

    Lean and/or Six Sigma for process optimization in the perioperative period: an integrative review

    Revista Brasileira de Enfermagem. 2024;77(2):e20230431

    DOI 10.1590/0034-7167-2023-0431

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    ABSTRACT

    Objective:

    To analyze the evidence on the influence of Lean and/or Six Sigma for process optimization in the perioperative period.

    Methods:

    Integrative review carried out in the MEDLINE (PubMed), Web of Science, EMBASE, CINAHL, Scopus and LILACS databases on the use of Lean and/or Six Sigma to optimize perioperative processes. The studies included were analyzed in three thematic categories: flow of surgical patients, work process and length of stay.

    Results:

    The final sample consisted of ten studies, which covered all operative periods. Lean and/or Six Sigma make a significant contribution to optimizing perioperative processes.

    Final considerations:

    Lean and/or Six Sigma optimize perioperative processes to maximize the achievement of system stability indicators, making it possible to identify potential problems in order to recognize them and propose solutions that can enable the institution of patient-centered care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Lean and/or Six Sigma for process optimization in the perioperative period: an integrative review

  • EXPERIENCE REPORT02-10-2020

    Overcoming the challenges to offer quality training in psychiatric nursing

    Revista Brasileira de Enfermagem. 2020;73(1):e20180208

    Abstract

    EXPERIENCE REPORT

    Overcoming the challenges to offer quality training in psychiatric nursing

    Revista Brasileira de Enfermagem. 2020;73(1):e20180208

    DOI 10.1590/0034-7167-2018-0208

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    ABSTRACT

    Objective:

    to report the experience of the Psychiatric Nursing professors of the Nursing Undergraduate Course of the Nursing School, Universidade Federal de Minas Gerais (UFMG) and the challenges faced to offer quality training.

    Method:

    This is an experience report about the experience of Psychiatric Nursing professors of the Nursing Undergraduate Course of the Nursing School, UFMG.

    Results:

    After losing the workload of 120 hours in the Psychiatric Nursing Undergraduate Course, the area developed elective disciplines with a total of 330-hour load, in addition to extension and research projects.

    Final considerations:

    the precariousness of the area of Nursing training after curricular restructuring in a higher education institution, whether in relation to hour load or in the allocation of teaching vacancies, is in line with advances of the Brazilian Psychiatric Reform and epidemiological data of psychic illness and drug use.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW07-31-2020

    Educational practices for families of children and adolescents using a permanent venous catheter

    Revista Brasileira de Enfermagem. 2020;73:e20190129

    Abstract

    REVIEW

    Educational practices for families of children and adolescents using a permanent venous catheter

    Revista Brasileira de Enfermagem. 2020;73:e20190129

    DOI 10.1590/0034-7167-2019-0129

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    ABSTRACT

    Objectives:

    to identify, in the scientific literature, the educational practices performed by nurses with the families of children and adolescents using long-term venous catheters, concerning home care.

    Methods:

    integrative review in LILACS, PubMed, SCOPUS, Web of Science and CINAHL databases, from August to September 2018.

    Results:

    we analyzed eight articles that met the inclusion criteria. The results showed that all studies are international, mostly North American and with low level of evidence. The educational practices found were home visits, production of printed educational materials, use of mannequins for simulation, creation of an educational video, and combined educational practices.

    Final Considerations:

    the care provided by families at home in the countries studied is more complex than in Brazil, and the conclusion is that Brazilian studies need to advance in publications related to this area.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Educational practices for families of children and adolescents using a permanent venous catheter
  • ORIGINAL ARTICLE02-06-2023

    Teaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal

    Revista Brasileira de Enfermagem. 2023;76(2):e20210244

    Abstract

    ORIGINAL ARTICLE

    Teaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal

    Revista Brasileira de Enfermagem. 2023;76(2):e20210244

    DOI 10.1590/0034-7167-2021-0244

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    ABSTRACT

    Objective:

    To evaluate a proposal for teaching entrepreneurship in an undergraduate Nursing course that uses active methodologies and activities based on the theory of meaningful learning.

    Methods:

    Interventional, prospective study, with a quantitative perspective, with a total of 102 participating students, carried out from July 2017 to December 2019 at a public university in the state of Sao Paulo. Statistical analysis were performed by non-parametric Chi-square or Fisher’s exact tests, with differences considered statistically significant if p < 0.05.

    Results:

    Improvements were observed in almost all items evaluated, revealing that meaningful learning became more effective with the use of active teaching methodologies. Most students need adaptation and effort to be put into these methods.

    Conclusions:

    The proposal offers pedagogical content adaptation, specifically for nursing students. New research should expand teaching-learning techniques for the development of future nurses, preparing them adequately for the job market.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Teaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal
  • ORIGINAL ARTICLE08-16-2021

    Gender debate as a challenge in nursing training

    Revista Brasileira de Enfermagem. 2021;74(5):e20201001

    Abstract

    ORIGINAL ARTICLE

    Gender debate as a challenge in nursing training

    Revista Brasileira de Enfermagem. 2021;74(5):e20201001

    DOI 10.1590/0034-7167-2020-1001

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    ABSTRACT

    Objectives:

    to understand the challenges of introducing gender debate in nursing training from undergraduate students’ perspective.

    Methods:

    a qualitative, exploratory-explanatory study. Data were collected through a semi-structured interview applied to 12 undergraduate nursing students at a public university in São Paulo. For data treatment and analysis, the Discourse of the Collective Subject was used in light of Boaventura de Sousa Santos’ knowledge production paradigm theoretical framework.

    Results:

    nursing education remains centered on the traditional scientific model, neglecting gender and strengthening stereotypes aimed at the feminization of the profession.

    Final Considerations:

    nursing training has a challenge of implementing actions that deepen the gender theme. Therefore, some strategies are suggested, such as improving professor training and appropriating emancipatory pedagogical practices; reviewing pedagogical political projects; curriculum theorization and restructuring; problematizing gender issues for nursing leadership.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-30-2021

    Historical aspects in pain management in palliative care in an oncological reference unit

    Revista Brasileira de Enfermagem. 2021;74(5):e20200761

    Abstract

    ORIGINAL ARTICLE

    Historical aspects in pain management in palliative care in an oncological reference unit

    Revista Brasileira de Enfermagem. 2021;74(5):e20200761

    DOI 10.1590/0034-7167-2020-0761

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    ABSTRACT

    Objective:

    Describe the actions implemented for pain management in palliative care oncology and analyze the contribution of Hospital do Câncer IV, as a reference unit at the National Cancer Institute.

    Methods:

    Study of the history of the present time, whose sources were written documents and interviews with five participants. The collection took place from February to June 2018. The analysis of the written sources took place through internal and external criticism of the documents, considering their chronology and theme.

    Results:

    Professionals contributed with actions for pain management in palliative oncology care: in discussions and final drafting of ordinances, as rapporteurs at national and international events, in the elaboration of humanization conducts and systematization of assistance in addressing pain.

    Final considerations:

    These actions favored assistance in palliative oncology care at various levels of health care for patients and families, with greater technical and scientific recognition for all.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • TECHNOLOGICAL INNOVATION06-04-2021

    Development of a nursing website for critical care regarding healthcare-associated infections

    Revista Brasileira de Enfermagem. 2021;74:e20200928

    Abstract

    TECHNOLOGICAL INNOVATION

    Development of a nursing website for critical care regarding healthcare-associated infections

    Revista Brasileira de Enfermagem. 2021;74:e20200928

    DOI 10.1590/0034-7167-2020-0928

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    ABSTRACT

    Objective:

    to describe the development of a website about the main healthcare-associated infections and the respective bundles to prevent these diseases, oriented toward intensive care unit nursing.

    Methods:

    experience report describing the development of technological innovation by nurses, using computational tools and technological production methodological research and following the product development process.

    Results:

    nurses developed an educational website which can be accessed through computers, tablets, and smartphones at the electronic address irastis.com and focuses on healthcare-associated infections.

    Final considerations:

    digital technologies have contributed to fulfill demands in health care, research, and education. The developed website has the potential to support reduction in healthcare-associated infection rates, since it makes preventive measures for these infections available and refers users to publication environments that systematize the implementation of the bundles.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Development of a nursing website for critical care regarding healthcare-associated infections
  • ORIGINAL ARTICLE10-21-2019

    Being an institutionalized elderly person: meaning of experiences based on Heidegger’s phenomenology

    Revista Brasileira de Enfermagem. 2019;72(6):1632-1638

    Abstract

    ORIGINAL ARTICLE

    Being an institutionalized elderly person: meaning of experiences based on Heidegger’s phenomenology

    Revista Brasileira de Enfermagem. 2019;72(6):1632-1638

    DOI 10.1590/0034-7167-2018-0763

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    ABSTRACT

    Objective:

    Analyze the meaning of being an elderly person living in a long-term institution.

    Method:

    Qualitative study based on Martin Heidegger’s thought. Twelve phenomenological interviews were conducted with people aged over 60 years living in a long-term institution for the elderly in the city of Itabuna, Bahia, Brazil.

    Results:

    The units of meaning identified were: experience of progressive loss of autonomy and independence, perception of living in an institution as an inevitable circumstance; and being-with becoming being-alone/being-lonely. After the identification of ontic aspects and hermeneutical understanding, the unit of meaning was constructed: meaning of being an elderly person living in a long-term institution.

    Final considerations:

    The ontological needs referring to being an elderly person remain forgotten. As we are ontic and ontological, limited care to the ontic instance indicates deficiencies in institutionalization. Improvements are required to ensure the right to age with quality of life to this population.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 06-11-2021

    Resilience in elderly people: factors associated with sociodemographic and health conditions

    Revista Brasileira de Enfermagem. 2021;74:e20200171

    Abstract

    Resilience in elderly people: factors associated with sociodemographic and health conditions

    Revista Brasileira de Enfermagem. 2021;74:e20200171

    DOI 10.1590/0034-7167-2020-0171

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    ABSTRACT

    Objective:

    to describe the sociodemographic and health characteristics of elderly people, measure the score of total resilience and by sex and verify the association of sociodemographic and health variables with total resilience and by sex.

    Methods:

    this is a household survey with 808 elderly people, assessed by validated instruments. Student’s t test and multiple linear regression (p<0.05).

    Results:

    most were female, 60|-|79 years old. The total resilience score was 78.06, for men 81.53 and for women, 76.32. Total resilience was associated with males; positive self-perceived health; greater participation in Advanced Activities of Daily Living; fewer morbidities; absence of depressive symptoms. Among men and women, resilience was associated with greater participation in Advanced Activities of Daily Living and absence of depressive symptoms and, specifically, among women, positive self-perceived health.

    Conclusion:

    these results contribute to nursing care, aiming to encourage resilience.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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