Articles - Revista Brasileira de Enfermagem

  • 01-01-2016

    Prevalence and factors associated with traffic accidents involving motorcycle taxis

    Revista Brasileira de Enfermagem. 2016;69(2):382-388

    Abstract

    Prevalence and factors associated with traffic accidents involving motorcycle taxis

    Revista Brasileira de Enfermagem. 2016;69(2):382-388

    DOI 10.1590/0034-7167.2016690223i

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    ABSTRACT

    Objective:

    to determine the prevalence of motorcycle accidents involving motorcycle taxi drivers and associated factors.

    Method:

    this is a cross-sectional and exploratory study, with application of questionnaires to motorcycle taxi drivers of 32 regions of Caicó, Rio Grande do Norte, Brazil (N=420).

    Results:

    motorcycle taxi drivers have a high level of daily working hours (12 hours on average), and it was found that 63.6% were involved in at least one motorcycling accident. The occurence of motorcycling accidents was significantly associated only to level of education (p<0.001), with no significant association with the other variables, such as age (p=0.132), time of service (p=0.744) and working hours (p=0.830).

    Conclusion:

    it is necessary to implement preventive and educational actions with motorcycle taxi drivers and users of this service concerning accidents and emergency measures, due to constant exposure to accidents during work routine.

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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.
  • 01-01-2016

    Characterization of undergraduate nursing courses according to the National Student Performance Exam

    Revista Brasileira de Enfermagem. 2016;69(2):375-381

    Abstract

    Characterization of undergraduate nursing courses according to the National Student Performance Exam

    Revista Brasileira de Enfermagem. 2016;69(2):375-381

    DOI 10.1590/0034-7167.2016690222i

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    ABSTRACT

    Objective:

    to characterize undergraduate nursing courses according to Enade (National Student Performance Exam) in 2010 and 2013.

    Method:

    a quantitative documental study was performed and descriptive statistics was used for data organization and analysis.

    Results:

    Enade report analysis enabled the identification of a reduction in the total number of institutions providing undergraduate nursing courses that passed the evaluation process. The Southeastern, Northeastern and Southern regions of Brazil included the highest numbers of courses assessed and showed the best results in the two evaluation cycles. Additionally, the courses characterized as “without a ranking” were mainly held at private institutions.

    Conclusion:

    the results of these evaluation cycles are important to support investigative and intervention processes about and with undergraduate nursing courses.

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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.
  • 01-01-2016

    Teaching airway management with laryngeal mask: randomized controlled trial

    Revista Brasileira de Enfermagem. 2016;69(2):368-374

    Abstract

    Teaching airway management with laryngeal mask: randomized controlled trial

    Revista Brasileira de Enfermagem. 2016;69(2):368-374

    DOI 10.1590/0034-7167.2016690221i

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    ABSTRACT

    Objective:

    to teach airway management with laryngeal mask to nursing students through dialogic lectures along with laboratory activities or exclusively through simulation class.

    Method:

    randomized controlled trial. Population: eighth semester bachelor’s degree students. Sample: 17 students randomized in the intervention group (IG: simulation class) or control group (CG: dialogic lecture along with laboratory activities). Elaborated and validated instruments: written test, simulation scenario, objective structured clinical examination (checklist). Data collected from workshop. Structured clinical examination in simulation scenario filmed and evaluated by 3 experts, and written tests were applied.

    Results:

    24.4±4.2 years old. Right answers percentage: CG: pre-test 66±10%; post-test 84±8%. IG: pre-test 65±5%; post-test 86±11%. Scenario: CG 78±5.2%; IG 84±8.9%.

    Conclusion:

    strategies allowed the development of knowledge, skills and decision-making, which are essential to achieve the scenario objectives. Knowledge was incorporated in airway management with laryngeal mask, shown by the increase in the scenario and written tests scores.

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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 airway management with laryngeal mask: randomized controlled trial
  • 01-01-2016

    Influence of the São Paulo State innovative models on Brazil’s mental health policy

    Revista Brasileira de Enfermagem. 2016;69(2):360-367

    Abstract

    Influence of the São Paulo State innovative models on Brazil’s mental health policy

    Revista Brasileira de Enfermagem. 2016;69(2):360-367

    DOI 10.1590/0034-7167.2016690220i

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    ABSTRACT

    Objective:

    to analyze the influence of two São Paulo State experiences in the choice of psychosocial care centers as guiding service providers for the national mental health policy.

    Method:

    qualitative, exploratory, and descriptive study using oral history as a methodology and theoretical reference.

    Results:

    eight professionals involved in the deployment of the mental health policy in the cities of Santos and São Paulo between the years 1989 and 1992 were interviewed. Data were analyzed after treating the narratives and grouping the most significant content. Two central themes emerged: development of the local-regional model, and the model’s influence on the choice of the psychosocial care center.

    Conclusion:

    due to greater insertion of the Santos experience group in the spheres of the federal government, its influence on the choice of the substitute model was higher in ideological terms, whereas the São Paulo model had its influence restricted for political reasons.

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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.
  • 01-01-2016

    Stress and cardiovascular risk: multi-professional intervention in health education

    Revista Brasileira de Enfermagem. 2016;69(2):351-359

    Abstract

    Stress and cardiovascular risk: multi-professional intervention in health education

    Revista Brasileira de Enfermagem. 2016;69(2):351-359

    DOI 10.1590/0034-7167.2016690219i

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    ABSTRACT

    Objective:

    to identify cardiovascular risk in educators (administrators and teachers) from the South region of Brazil, evaluated before and after intervention with stress management activities and health education.

    Method:

    longitudinal study of the before and after type. The sample consisted of 49 participants. Variables studied were socio-demographic, morbidity antecedents and lifestyle habits. Measured risk factors for cardiovascular disease were arterial blood pressure, body mass index, ratio of waist to hip size, lipid profile and capillary blood glucose. Stress levels were evaluated using the Lipp Stress Symptoms Inventory (LSSI). The study ran for four months, with weekly meetings of a multidisciplinary team.

    Results:

    after intervention, the study observed a statistically significant reduction of the investigated variables, except for blood glucose levels in the administrators group.

    Conclusion:

    stress management activities are potential tools in the identification and control of the risk factors studied, particularly in those involving multi- and trans-disciplinary focus.

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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.
  • 01-01-2016

    Social representations of nursing students about hospital assistance and primary health care

    Revista Brasileira de Enfermagem. 2016;69(2):343-350

    Abstract

    Social representations of nursing students about hospital assistance and primary health care

    Revista Brasileira de Enfermagem. 2016;69(2):343-350

    DOI 10.1590/0034-7167.2016690218i

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    ABSTRACT

    Objective:

    To analyze how social representations of hospital and community care are structured in two groups of nursing students – 1st and 4th years.

    Method:

    Qualitative research oriented by the Theory of Social Representations. We used a questionnaire with Free Association of Words. Data were analyzed in the Software IRaMuTeQ 0.6 alpha 3.

    Results:

    We applied the method of Descending Hierarchical Classification and obtained four classes. Class 4 has the largest social representation (30.41%) within the corpus. The two organizational axes are nurse and disease/patient in the central core. On the periphery are the care and help related to the nurse and the treatment and prevention associated with the disease.

    Conclusion:

    Social representations focus on disease/patient and on the role of nurses in the treatment, prevention, and care. Health promotion and the social determinants of health are absent from the social representations of students.

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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 nursing students about hospital assistance and primary health care
  • 01-01-2016

    Prevalence of medication therapy adherence in the elderly and related factors

    Revista Brasileira de Enfermagem. 2016;69(2):335-342

    Abstract

    Prevalence of medication therapy adherence in the elderly and related factors

    Revista Brasileira de Enfermagem. 2016;69(2):335-342

    DOI 10.1590/0034-7167.2016690217i

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    ABSTRACT

    Objective:

    to determine the prevalence of adherence to medication therapy in elderly outpatients; to verify whether there is an association between medication therapy adherence and demographic and socioeconomic factors, health conditions.

    Method:

    a quantitative, exploratory, descriptive, cross-sectional study, performed in outpatient clinics of a university hospital in Rio Grande do Sul, Brazil. Three data collection instruments were answered by a convenience sample of 107 elders. A descriptive and inferential statistical analysis was conducted.

    Results:

    the prevalence of adherence was 86.9%. A statistically significant association was identified between the adherence variable and receiving medical guidelines on how to take medications, and having adverse reactions. Conclusion: Nurses must know the prevalence of medication adherence and related factors in order to plan interventions that promote therapeutic success.

    Conclusion:

    Nurses must know the prevalence of medication adherence and related factors in order to plan interventions that promote therapeutic success.

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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.
  • 01-01-2016

    Family farming and human and environmental health conservation

    Revista Brasileira de Enfermagem. 2016;69(2):326-334

    Abstract

    Family farming and human and environmental health conservation

    Revista Brasileira de Enfermagem. 2016;69(2):326-334

    DOI 10.1590/0034-7167.2016690216i

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    ABSTRACT

    Objective:

    understand how farmers identify positive and negative impacts of family farming work on the environment and conserve the environmental health.

    Method:

    a qualitative study with 129 farmers from Ilha dos Marinheiros, Rio Grande, Brazil. Secondary data and recorded interviews were used in this study, with subsequent analysis performed by Bardin and NVivo10, both based on Enrique Leff’s cultural rationality.

    Results:

    the positive impacts included food production with responsibility, work appreciation, and the correct, minimum or inexistent insertion of agrochemicals. The negative aspects included excessive and incorrect use of agrochemicals and absent farming knowledge.

    Conclusion:

    environmental conservation consisted in reducing impacts that could have a negative effect on health, while performing work activities.

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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 ARTICLE08-07-2020

    Quality of life of high risk pregnant women during prenatal care

    Revista Brasileira de Enfermagem. 2020;73:e20190595

    Abstract

    ORIGINAL ARTICLE

    Quality of life of high risk pregnant women during prenatal care

    Revista Brasileira de Enfermagem. 2020;73:e20190595

    DOI 10.1590/0034-7167-2019-0595

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    ABSTRACT

    Objective:

    to analyze the quality of life of high-risk pregnant women.

    Methods:

    an observational and cross-sectional study, carried out in a tertiary maternity hospital located in Fortaleza, with 276 high-risk pregnant women. A questionnaire was applied containing socioddemographic, clinical and obstetric data and The Mother-Generated Index. Descriptive analyzes were performed using the Jamovi statistical program®, version 0.9.

    Results:

    most areas were negatively influenced by pregnancy. “Satisfaction with pregnancy”, “family relationship” and “relationship with the partner” obtained the highest means of primary score, while “physical condition/disposition” and “financing” obtained the lowest means. The highest secondary scores were in “satisfaction with pregnancy”, “family relationship” and “relationship with the partner”, while the lowest were in “financing” and “psychological/emotional”.

    Conclusion:

    the total primary score mean was 6.03, suggesting a good quality of life. The Mother Generated Index made it possible to identify aspects of life that go beyond pre-formulated assessments of the construct.

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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 ARTICLE02-10-2020

    Nursing team knowledge on care for patients with fungating wounds

    Revista Brasileira de Enfermagem. 2020;73(1):e20170738

    Abstract

    ORIGINAL ARTICLE

    Nursing team knowledge on care for patients with fungating wounds

    Revista Brasileira de Enfermagem. 2020;73(1):e20170738

    DOI 10.1590/0034-7167-2017-0738

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    ABSTRACT

    Objective:

    to evaluate the nursing team knowledge of a cancer hospital on care for patients with Malignant Fungating Wounds (MFW) and to analyze associated sociodemographic and educational factors.

    Method:

    an observational and cross-sectional study, conducted between September and October 2015, after approval by the Research Ethics Committee. A questionnaire was applied containing sociodemographic, educational and related components to the accomplishment of dressings, dressings choice and orientation. Data were analyzed by using Chi-square, Fisher’s exact test, Student’s t-Test and Pearson’s correlation.

    Results:

    37 professionals participated in the study, most of whom were technicians (56.8%), women (91.9%) and with a mean age of 32 years. The professionals presented 56.5% of correct answers. There were no statistically significant associations between sociodemographic/educational variables and number of correct answers.

    Conclusion:

    there was a lack of important knowledge about care for patients with MFW, which should guide strategies for the oncology staff training.

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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.
    Nursing team knowledge on care for patients with fungating wounds
  • ORIGINAL ARTICLE09-07-2020

    Attitudes, knowledge and skills of nurses in the Xingu Indigenous Park

    Revista Brasileira de Enfermagem. 2020;73(6):e20190632

    Abstract

    ORIGINAL ARTICLE

    Attitudes, knowledge and skills of nurses in the Xingu Indigenous Park

    Revista Brasileira de Enfermagem. 2020;73(6):e20190632

    DOI 10.1590/0034-7167-2019-0632

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    ABSTRACT

    Objective:

    to analyze the attitudes, knowledge and skills that make up the professional competencies of nurses working in indigenous territories.

    Method:

    this is an exploratory-descriptive study with a qualitative approach, conducted with nurses working in the Xingu Indigenous Park in 2016. Data were obtained in semi-structured interviews and treated according to the thematic-categorical analysis method.

    Results:

    the nurse’s performance in the Xingu Indigenous Park has a multifaceted character, being defined by the territory’s interculturality and specificities and by how the service is organized. Technical skills, concepts from anthropology and attitudes that facilitate a respectful dialogue with cultural difference are required for a professional to act in this context.

    Final considerations:

    the performance of health professionals in indigenous territories requires specificities associated with the acquisition of new knowledge, attitudes and skills geared to the intercultural dimension of the work developed.

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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 ARTICLE12-05-2019

    Functional capacity and quality of life of hospitalized octogenarians

    Revista Brasileira de Enfermagem. 2019;72:43-48

    Abstract

    ORIGINAL ARTICLE

    Functional capacity and quality of life of hospitalized octogenarians

    Revista Brasileira de Enfermagem. 2019;72:43-48

    DOI 10.1590/0034-7167-2017-0781

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    ABSTRACT

    Objective:

    To evaluate the ability to perform activities of daily living (ADL) and to correlate functional capacity with quality of life (QoL) of hospitalized octogenarians.

    Method:

    A cross-sectional study with 128 patients using the quality of life instruments WHOQOL-OLD and WHOQOL-BREF and the Katz Scale.

    Results:

    The majority of patients was fully dependent; patients with higher schooling had less independence; older adults with partial dependence and independence had higher scores in perceived QoL; in the domains of autonomy, past, present and future activities; and better overall QoL than those with full dependence. Partially dependent patients had higher scores in the death and dying domain than independent patients.

    Conclusion:

    Older adults’ QoL is associated with the maintenance of autonomy and functional capacity. Older adults experience a health decline during the hospitalization process, due to the limitation in performing their ADL and lack of encouragement by the health team.

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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 ARTICLE07-10-2020

    Quality of life, depressive and minor psychiatrics symptoms in nursing students

    Revista Brasileira de Enfermagem. 2020;73:e20190134

    Abstract

    ORIGINAL ARTICLE

    Quality of life, depressive and minor psychiatrics symptoms in nursing students

    Revista Brasileira de Enfermagem. 2020;73:e20190134

    DOI 10.1590/0034-7167-2019-0134

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    ABSTRACT

    Objective:

    To assess quality of life, prevalence of depressive and minor psychiatric symptoms in Nursing students.

    Methods:

    Cross-sectional study, conducted from March to April 2018, at a federal university. Sample composed of 242 Nursing students, from the 1st to the 8th semester. Data was collected using the quality of life instruments, Beck Depression Inventory and Self-Report Questionnaire. A significance level of 0.05 was considered.

    Results:

    The mean age was 22.9 ± 5.1 years. It was found that 25% of the students had severe depressive symptoms and 54% of the students had minor psychiatric disorders, with a higher prevalence in the first semesters. An inverse relationship was observed between the frequency of depressive symptoms and quality of life scores (p = 0.05).

    Conclusion:

    Nursing students showed a high prevalence of depressive symptoms, indicating the importance of implementing actions to promote and prevent mental health.

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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.
    Quality of life, depressive and minor psychiatrics symptoms in nursing students
  • ORIGINAL ARTICLE06-01-2020

    Depression and chronic renal patients on hemodialysis: associated factors

    Revista Brasileira de Enfermagem. 2020;73:e20190167

    Abstract

    ORIGINAL ARTICLE

    Depression and chronic renal patients on hemodialysis: associated factors

    Revista Brasileira de Enfermagem. 2020;73:e20190167

    DOI 10.1590/0034-7167-2019-0167

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    ABSTRACT

    Objective:

    to verify the association of sociodemographic and clinical variables, life habits and functional capacity with symptoms indicative of depression in chronic renal patients on hemodialysis.

    Method:

    cross-sectional study developed from February to October of 2017 with 183 patients undergoing hemodialysis in two renal units located in the state of Rio Grande do Sul. Data collected with clinic and sociodemographic questionnaire and Beck Depression Inventory. Analysis with descriptive and analytical statistics and the chi-square test.

    Results:

    55.2% of participants were elderly, 66.4% men, 90.7% retired, and 60.3% presented depressive symptoms. An association was found between symptoms indicative of depression and the female sex, greater number of comorbidities and post-hemodialysis intercurrences, emotional and physical symptoms, inactivity, failing to perform usual activities and the need for assistance in day-to-day.

    Conclusion:

    depressive symptoms are associated with burden of comorbidities, greater number of disease complications, hemodialytic intercurrences and functional dependence. Physical exercise practice can be an effective care strategy.

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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 ARTICLE05-21-2021

    Music in the relief of stress and distress in cancer patients

    Revista Brasileira de Enfermagem. 2021;74(2):e20190838

    Abstract

    ORIGINAL ARTICLE

    Music in the relief of stress and distress in cancer patients

    Revista Brasileira de Enfermagem. 2021;74(2):e20190838

    DOI 10.1590/0034-7167-2019-0838

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    ABSTRACT

    Objectives:

    to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital.

    Methods:

    quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test.

    Results:

    the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress — p < 0.001.

    Conclusions:

    the use of music diminishes the stress and the distress of cancer 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.
    Music in the relief of stress and distress in cancer patients
  • ORIGINAL ARTICLE07-08-2020

    Self-medication practices in riverside communities in the Brazilian Amazon Rainforest

    Revista Brasileira de Enfermagem. 2020;73(5):e20190432

    Abstract

    ORIGINAL ARTICLE

    Self-medication practices in riverside communities in the Brazilian Amazon Rainforest

    Revista Brasileira de Enfermagem. 2020;73(5):e20190432

    DOI 10.1590/0034-7167-2019-0432

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    INTRODUCTIONThe Brazilian Amazon rainforest has an area of approximately 5 million km2, with important climatic, social and economic variations that can impact the profile of morbidity and the use of medicines. The epidemiological profile of the Amazonian population is quite heterogeneous, including vector-borne diseases, such as malaria, dengue, cutaneous leishmaniasis and Diseases Related to Inadequate […]
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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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