Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-16-2024

    Construction and validation of an educational game on biosafety in the central sterile supply department

    Revista Brasileira de Enfermagem. 2024;77(6):e20230478

    Abstract

    ORIGINAL ARTICLE

    Construction and validation of an educational game on biosafety in the central sterile supply department

    Revista Brasileira de Enfermagem. 2024;77(6):e20230478

    DOI 10.1590/0034-7167-2023-0478

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    ABSTRACT

    Objectives:

    to construct and validate an educational game on biosafety in the Central Sterile Supply Department of a hospital in Curitiba, PR.

    Methods:

    the study was conducted using a quantitative approach, employing applied and technological research with an exploratory design. The process was divided into six stages, from the definition of the theme to the validation and application of the game. The study was carried out from May to August 2022, involving 17 nursing professionals from a Central Sterile Supply Department during day and night shifts, as well as 9 judges.

    Results:

    the study resulted in the construction of a board game named by the authors as “My Health First.”

    Conclusions:

    the research achieved its objective of constructing and validating an educational game. By reflecting on professional practice and correlating the occupational risks present, the professionals were able to list safe actions, identify problems, and seek solutions.

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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.
    Construction and validation of an educational game on biosafety in the central sterile supply department
  • ORIGINAL ARTICLE12-16-2024

    Health literacy development of Primary Health Care patients: qualitative research

    Revista Brasileira de Enfermagem. 2024;77(6):e20240154

    Abstract

    ORIGINAL ARTICLE

    Health literacy development of Primary Health Care patients: qualitative research

    Revista Brasileira de Enfermagem. 2024;77(6):e20240154

    DOI 10.1590/0034-7167-2024-0154

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    ABSTRACT

    Objectives:

    to identify the process of health literacy development among primary care patients, relating it to their self-care practices.

    Methods:

    qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.

    Results:

    the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.

    Final Considerations:

    health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.

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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.
    Health literacy development of Primary Health Care patients: qualitative research
  • ORIGINAL ARTICLE12-16-2024

    Analysis of omission of antimicrobial doses in Intensive Care Units

    Revista Brasileira de Enfermagem. 2024;77(6):e20240102

    Abstract

    ORIGINAL ARTICLE

    Analysis of omission of antimicrobial doses in Intensive Care Units

    Revista Brasileira de Enfermagem. 2024;77(6):e20240102

    DOI 10.1590/0034-7167-2024-0102

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    ABSTRACT

    Objectives:

    to analyze the rate of antimicrobial dose omission in intensive care units.

    Methods:

    cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.

    Results:

    the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).

    Conclusions:

    monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.

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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.
  • REVIEW12-16-2024

    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review

    Revista Brasileira de Enfermagem. 2024;77(6):e20240086

    Abstract

    REVIEW

    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review

    Revista Brasileira de Enfermagem. 2024;77(6):e20240086

    DOI 10.1590/0034-7167-2024-0086

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    ABSTRACT

    Objectives:

    to summarize the recommendations of guidelines for promoting mental health in the workplace.

    Methods:

    an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.

    Results:

    four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.

    Conclusions:

    the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.

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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.
    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
  • ORIGINAL ARTICLE12-16-2024

    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection

    Revista Brasileira de Enfermagem. 2024;77(6):e20240085

    Abstract

    ORIGINAL ARTICLE

    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection

    Revista Brasileira de Enfermagem. 2024;77(6):e20240085

    DOI 10.1590/0034-7167-2024-0085

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    ABSTRACT

    Objectives:

    to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.

    Methods:

    a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.

    Results:

    a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).

    Conclusions:

    the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.

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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.
    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
  • 12-16-2024

    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain

    Revista Brasileira de Enfermagem. 2024;77(6):e20240050

    Abstract

    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain

    Revista Brasileira de Enfermagem. 2024;77(6):e20240050

    DOI 10.1590/0034-7167-2024-0050

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    ABSTRACT

    Objectives:

    to develop a digital technological solution (prototype) for assessing patients with chronic pain.

    Methods:

    this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.

    Results:

    the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.

    Final Considerations:

    the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.

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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.
    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
  • ORIGINAL ARTICLE12-16-2024

    Respectful care for postpartum women with sickle cell disease: a netnographic study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230545

    Abstract

    ORIGINAL ARTICLE

    Respectful care for postpartum women with sickle cell disease: a netnographic study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230545

    DOI 10.1590/0034-7167-2023-0545

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    ABSTRACT

    Objectives:

    to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.

    Methods:

    netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.

    Results:

    principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.

    Final Considerations:

    it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.

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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.
    Respectful care for postpartum women with sickle cell disease: a netnographic study
  • REVIEW12-16-2024

    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

    Revista Brasileira de Enfermagem. 2024;77(6):e20230343

    Abstract

    REVIEW

    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

    Revista Brasileira de Enfermagem. 2024;77(6):e20230343

    DOI 10.1590/0034-7167-2023-0343

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    ABSTRACT

    Objectives:

    to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.

    Methods:

    systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.

    Results:

    initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.

    Conclusions:

    we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.

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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.
    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
  • EXPERIENCE REPORT01-01-2018

    Clinical and epidemiological teaching of dengue through simulated practice

    Revista Brasileira de Enfermagem. 2018;71(2):451-456

    Abstract

    EXPERIENCE REPORT

    Clinical and epidemiological teaching of dengue through simulated practice

    Revista Brasileira de Enfermagem. 2018;71(2):451-456

    DOI 10.1590/0034-7167-2016-0503

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    ABSTRACT

    Objective:

    to describe the experience of clinical teaching on dengue and the practice of epidemiological surveillance using problematization methodology.

    Method:

    report of experience on educational activity with undergraduate nursing students, held in March 2016, at a public university in the city of São Paulo, conceived in four stages: dialogic lecture, active search of Aedes aegypti, case study and simulation of nursing consultation to individuals with dengue.

    Results:

    The activity allowed to retrieve previous knowledge about the disease, respond to exercises that addressed different clinical situations and epidemiological surveillance, including in situ evaluation of possible mosquito outbreaks, and discuss the need to expand prevention and health of the individual and the community, the impact of the media in the dissemination of cases and the coping difficulties experienced in the different levels of attention.

    Conclusion:

    the methodology adopted enabled qualified training of students to cope with dengue.

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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.
    Clinical and epidemiological teaching of dengue through simulated practice
  • ORIGINAL ARTICLE07-18-2022

    Beliefs, knowledge, actions of nursing techniques in breastfeeding in pain management in immunization

    Revista Brasileira de Enfermagem. 2022;75(6):e20210546

    Abstract

    ORIGINAL ARTICLE

    Beliefs, knowledge, actions of nursing techniques in breastfeeding in pain management in immunization

    Revista Brasileira de Enfermagem. 2022;75(6):e20210546

    DOI 10.1590/0034-7167-2021-0546

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    ABSTRACT

    Objective:

    Understand the beliefs, knowledge, and actions of nursing technicians on breastfeeding as a form of non-pharmacological intervention to relieve pain in newborns and infants during immunization.

    Methods:

    Qualitative study carried out through semi-structured interviews with nine nursing technicians from three Basic Health Units in a city in the state of São Paulo. The theoretical approach of the Belief Model and the methodological framework of Thematic Analysis supported this study.

    Results:

    Three themes originated: Beliefs, Knowledge, and Actions of nursing technicians.

    Final considerations:

    Despite knowledge about the benefits of breastfeeding as the most effective method for relieving pain in newborns and infants during vaccination, their restrictive beliefs overrode the evidence, leading them to act in ways that discourage or prevent the mother from breastfeed during vaccination. Formal training is recommended to align with current evidence-based practices.

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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.
  • REVIEW12-08-2023

    Educational technologies for accident prevention due to falls in childhood: a scoping review

    Revista Brasileira de Enfermagem. 2023;76:e20220807

    Abstract

    REVIEW

    Educational technologies for accident prevention due to falls in childhood: a scoping review

    Revista Brasileira de Enfermagem. 2023;76:e20220807

    DOI 10.1590/0034-7167-2022-0807

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    ABSTRACT

    Objectives:

    to map evidence on educational technology use for accident prevention due to falls in childhood.

    Methods:

    a scoping review, carried out in October and November 2022, in the MEDLINE, Web of Science, BDENF and CINAHL databases and LILACS bibliographic index. There was no delimitation of language or time. Data were extracted and analyzed descriptively by two independent researchers. The research protocol was registered in the Open Science Framework.

    Results:

    twenty-six studies were selected. Booklets, pamphlets and leaflets were the most used technologies, presenting health services as the most frequent environment to develop research on fall prevention. The technologies developed were important outcomes: increased knowledge of children, family members, caregivers, health and education professionals.

    Conclusions:

    educational technology use makes it possible to increase knowledge, adopt safe practices and reduce falls.

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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 technologies for accident prevention due to falls in childhood: a scoping review
  • REVIEW03-15-2024

    Resources for health literacy among caregivers of prematurely born children: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230062

    Abstract

    REVIEW

    Resources for health literacy among caregivers of prematurely born children: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230062

    DOI 10.1590/0034-7167-2023-0062

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    ABSTRACT

    Objectives:

    to map the available evidence on resources used to promote health literacy among caregivers of prematurely born children during outpatient follow-up.

    Methods:

    the Joanna Briggs Institute’s scope review protocol was utilized. The search encompassed six databases, incorporating studies from 2012 to 2022.

    Results:

    the three included publications revealed that the resources employed are: mobile applications, phone calls, individual counseling, videos, educational pamphlets, and group discussions. Implementing an education protocol during the transition home enhances scientifically grounded health promotion rates.

    Conclusions:

    there is limited literature addressing the health literacy of these caregivers. The nursing team plays a crucial role in health education and in developing resources applicable to these families.

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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.
    Resources for health literacy among caregivers of prematurely born children: a scoping review
  • ORIGINAL ARTICLE01-13-2024

    Social representations of oncologic surgery for patients with cancer

    Revista Brasileira de Enfermagem. 2024;77(6):e20230273

    Abstract

    ORIGINAL ARTICLE

    Social representations of oncologic surgery for patients with cancer

    Revista Brasileira de Enfermagem. 2024;77(6):e20230273

    DOI 10.1590/0034-7167-2023-0273

    Views2

    ABSTRACT

    Objectives:

    to analyze the social representations of patients with cancer regarding oncologic surgery.

    Methods:

    a qualitative study based on Social Representation Theory was conducted with 126 participants between October 2021 and May 2022 in a public hospital in Rio de Janeiro. A characterization questionnaire, free evocations of the inducing term “surgery”, and semi-structured interviews with 60 participants were applied. Data were analyzed using Microsoft Excel® and IRaMuTeQ.

    Results:

    the central core of the representation is composed of fear, cure, hope, and removing the disease. The analysis of interviews resulted in six classes that highlight the social changes caused by treatment as well as the need for a support network to cope with the surgical process.

    Final Considerations:

    the representations reflect fear and hope towards the procedure and the desire to remove the disease, thus translating the cure through surgery.

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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.
    Social representations of oncologic surgery for patients with cancer
  • ORIGINAL ARTICLE01-13-2024

    Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension

    Revista Brasileira de Enfermagem. 2024;77(6):e20230481

    Abstract

    ORIGINAL ARTICLE

    Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension

    Revista Brasileira de Enfermagem. 2024;77(6):e20230481

    DOI 10.1590/0034-7167-2023-0481

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    ABSTRACT

    Objectives:

    to understand the perspective of nurses on the use of telemonitoring in the management of people with type 2 diabetes mellitus and arterial hypertension in primary care.

    Methods:

    this qualitative research involved sixteen nurses from eight municipalities in Paraná. Data were collected between November 2022 and January 2023 through inperson or remote interviews, which were audio-recorded and subjected to content analysis.

    Results:

    according to the nurses, telemonitoring enhances users’ knowledge about these conditions, communication and connection with the team, and productivity. However, the lack of electronic resources and equipment, high staff turnover, low user adherence, and the limited availability of professional time present significant challenges.

    Final Considerations:

    the effective implementation and operation of telemonitoring in the management of people with diabetes and hypertension involve both potential benefits and barriers. It is essential to have the availability of human and technological resources, managerial support, and the commitment of professionals and users.

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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.
  • ERRATUM01-13-2024

    ERRATUM

    Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08

    Abstract

    ERRATUM

    ERRATUM

    Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08

    DOI 10.1590/0034-7167.20247706e08

    Views2
    In the article “Brazilian nursing specific situation, middle and micro-range theories: a bibliometric study”, with DOI number: , published in Revista Brasileira de Enfermagem, 2024;77(4):e20230520, Chart 1: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 ARTICLE09-29-2022

    Palliative care production for health professionals in the context of home care

    Revista Brasileira de Enfermagem. 2022;75(1):e20210030

    Abstract

    ORIGINAL ARTICLE

    Palliative care production for health professionals in the context of home care

    Revista Brasileira de Enfermagem. 2022;75(1):e20210030

    DOI 10.1590/0034-7167-2021-0030

    Views1

    ABSTRACT

    Objectives:

    to analyze palliative care production developed by health professionals to home care patients.

    Methods:

    this is an exploratory study, with a qualitative approach, using the transpersonal care theoretical framework. Thirteen interviews were conducted with health professionals and 18 observations were conducted on different cases. Content analysis was performed using MAXQDA©.

    Results:

    actions performed: maintenance and follow-up measures to people eligible for palliative care, in acts of dialogue and “listening” to caregivers and users, conducting guidelines for the care and self-care process, performing technical procedures, delivery of materials, referrals and medical prescriptions to users.

    Final Considerations:

    it is perceived the need for advances in the implementation of government policies in Brazil that insert palliative care into the Health Care Network through educational, managerial and care actions that ensure human dignity, thus allowing the development of these and other palliative care interventions.

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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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