Articles - Revista Brasileira de Enfermagem

  • RESEARCH01-01-2017

    Challenges in the end-of-course paper for nursing technical training

    Revista Brasileira de Enfermagem. 2017;70(6):1212-1219

    Abstract

    RESEARCH

    Challenges in the end-of-course paper for nursing technical training

    Revista Brasileira de Enfermagem. 2017;70(6):1212-1219

    DOI 10.1590/0034-7167-2016-0105

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    ABSTRACT

    Objective:

    To verify the opinion of Nursing Technical Training students on the stages of construction of the End-of-Course Paper.

    Method:

    A cross-sectional study with a qualitative and quantitative approach. A total of 94 students participated from a Nursing Technical course of an institution in the State of São Paulo. A questionnaire was used with assertions, followed by a “Likert Scale” and open field for additional comments.

    Results:

    The students gave a positive evaluation of the stages involved in completing the paper, but negative responses regarding the time available and obligatory nature (38%). Nevertheless, they understood the essence of the task, in order to foster personal and professional growth; with perspectives to advance in other modalities of the course.

    Conclusion:

    It is important that course administrators and professors are prepared to support their students, aiming at an effective transformation for the way of thinking and practice in health 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.
  • RESEARCH01-01-2017

    Stimulus-response time to alarms of the intra-aortic balloon pump: safe care practices

    Revista Brasileira de Enfermagem. 2017;70(6):1206-1211

    Abstract

    RESEARCH

    Stimulus-response time to alarms of the intra-aortic balloon pump: safe care practices

    Revista Brasileira de Enfermagem. 2017;70(6):1206-1211

    DOI 10.1590/0034-7167-2016-0432

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    ABSTRACT

    Objective:

    To characterize the sound alarms of the Intra-Aortic Balloon Pump (IABP) during aortic counterpulsation therapy; to measure the stimulus-response time of the team to these; and to discuss the implications of increasing this time for patient safety from the alarm fatigue perspective.

    Method:

    This is an observational and descriptive study with quantitative and qualitative approach, case study type, carried out in a Cardiac Surgical Intensive Care Unit.

    Results:

    The most audible IABP alarm was the one of high priority increased-reduced diastolic blood pressure. The stimulus-response time was 33.9 seconds on average.

    Conclusion:

    Managing the alarms of these equipment is essential to minimize the occurrence of the alarm fatigue phenomenon and to offer a safer assistance to patients who rely on this technology.

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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.
    Stimulus-response time to alarms of the intra-aortic balloon pump: safe care practices
  • RESEARCH01-01-2017

    Possibilities of care for serodiscordant couples for HIV who got pregnant

    Revista Brasileira de Enfermagem. 2017;70(6):1199-1205

    Abstract

    RESEARCH

    Possibilities of care for serodiscordant couples for HIV who got pregnant

    Revista Brasileira de Enfermagem. 2017;70(6):1199-1205

    DOI 10.1590/0034-7167-2016-0344

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    ABSTRACT

    Objective:

    Understanding the meaning of pregnancy for heterosexual couples facing serodiscordant situation for HIV, aiming at construction of care possibilities based on subjectivity.

    Method:

    Phenomenological research, theoretical-philosophical-methodological framework by Martin Heidegger. Research was conducted in a University Hospital in the countryside of Southern Brazil, from September 2013 to May 2014 through a phenomenological interview, with participation of eleven couples.

    Results:

    For the couples, pregnancy is part of life when they wish to have a child, even when one or both of them already have children from previous relationships. In addition, it is part of life when they consider the risks and do not want to have children in such circumstances anymore, but it happened unexpectedly.

    Conclusion:

    Understanding reproductive needs and demands of these couples is an aid for qualification and improvement of care as a contribution to nursing care planning towards reproductive health of these couples.

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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.
  • RESEARCH01-01-2017

    Interactive Theory of Breastfeeding: creation and application of a middle-range theory

    Revista Brasileira de Enfermagem. 2017;70(6):1191-1198

    Abstract

    RESEARCH

    Interactive Theory of Breastfeeding: creation and application of a middle-range theory

    Revista Brasileira de Enfermagem. 2017;70(6):1191-1198

    DOI 10.1590/0034-7167-2016-0523

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    ABSTRACT

    Objective:

    To describe a breastfeeding theory based on King’s Conceptual System.

    Method:

    Theoretical study that used analysis of concept, assertion synthesis, and derivation of theory for the creation of a new theory.

    Results:

    King’s system components were associated with elements of the breastfeeding process and a middle-range theory was created, which describes, explains, predicts, and prescribes breastfeeding by analyzing factors that precede and affect it, as well as their consequences on the breastfeeding process.

    Conclusion:

    The Breastfeeding Interactive Model is abstract enough to be applied in different social, cultural, political, and economic contexts, because it conceptualizes breastfeeding in systemic, dynamic, and procedural aspects. Based on a conceptual model of nursing, it contributes to the scientific construction of the subject; however it can also potentially be applied by other professionals involved in breastfeeding assistance.

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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.
    Interactive Theory of Breastfeeding: creation and application of a middle-range theory
  • RESEARCH01-01-2017

    Family resilience and chemical dependency: perception of mental health professionals

    Revista Brasileira de Enfermagem. 2017;70(6):1184-1190

    Abstract

    RESEARCH

    Family resilience and chemical dependency: perception of mental health professionals

    Revista Brasileira de Enfermagem. 2017;70(6):1184-1190

    DOI 10.1590/0034-7167-2016-0476

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    ABSTRACT

    Objective:

    To learn the perception of health professionals from the Psychosocial Attention Center for Alcohol and Other Drugs regarding the resilience attributes that are critical to family members of psychoactive substance dependents.

    Method:

    A qualitative descriptive study conducted from February to May 2016, using a focus group technique for data collection. In total, 15 professionals participated in the study: 13 health professionals and two administrative professionals. The statements were recorded and transcribed, and these data were analyzed using the technique of thematic content analysis.

    Results:

    Health professionals recognize the family resilience attributes needed for efficient and assertive communication, as well as organizational patterns and facilitating family strengths, factors that contribute to improved family relationship and family functionality.

    Final considerations:

    This study contributed to a perspective of clinical intervention with family members that is not limited to the negative aspects of family relationship and life, such as fragility and family dysfunction.

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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.
  • RESEARCH01-01-2017

    Efficiency of cleaning and disinfection of surfaces: correlation between assessment methods

    Revista Brasileira de Enfermagem. 2017;70(6):1176-1183

    Abstract

    RESEARCH

    Efficiency of cleaning and disinfection of surfaces: correlation between assessment methods

    Revista Brasileira de Enfermagem. 2017;70(6):1176-1183

    DOI 10.1590/0034-7167-2016-0608

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    ABSTRACT

    Objective:

    to assess the correlation among the ATP-bioluminescence assay, visual inspection and microbiological culture in monitoring the efficiency of cleaning and disinfection (C&D) of high-touch clinical surfaces (HTCS) in a walk-in emergency care unit.

    Method:

    a prospective and comparative study was carried out from March to June 2015, in which five HTCS were sampled before and after C&D by means of the three methods. The HTCS were considered dirty when dust, waste, humidity and stains were detected in visual inspection; when ≥2.5 colony forming units per cm2 were found in culture; when ≥5 relative light units per cm2 were found at the ATP-bioluminescence assay.

    Results:

    720 analyses were performed, 240 per method. The overall rates of clean surfaces per visual inspection, culture and ATP-bioluminescence assay were 8.3%, 20.8% and 44.2% before C&D, and 92.5%, 50% and 84.2% after C&D, respectively (p<0.001). There were only occasional statistically significant relationships between methods.

    Conclusion:

    the methods did not present a good correlation, neither quantitative nor qualitatively.

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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.
    Efficiency of cleaning and disinfection of surfaces: correlation between assessment methods
  • RESEARCH01-01-2017

    Cultural adaptation of The End-Stage Renal Disease Adherence Questionnaire for hemodialysis patients

    Revista Brasileira de Enfermagem. 2017;70(6):1169-1175

    Abstract

    RESEARCH

    Cultural adaptation of The End-Stage Renal Disease Adherence Questionnaire for hemodialysis patients

    Revista Brasileira de Enfermagem. 2017;70(6):1169-1175

    DOI 10.1590/0034-7167-2016-0519

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    ABSTRACT

    Objective:

    To describe the stages in the cultural adaptation of “The End-Stage Renal Disease Adherence Questionnaire” for use in Brazil.

    Method:

    A descriptive, transversal study with a quantitative approach. The cultural adaptation followed the steps of translation, professional committee, back translation, panel of patients and pretest.

    Results:

    the translation stage created a version in Portuguese that was analyzed by specialists, who suggested alterations in the title, seven sentences in the questions and three sets of answers. In the panel of patients phase, two questions were altered. The back translation considered the original characteristics of the instrument were maintained, likewise there were no modifications in the pretest phase. The third version written in Portuguese was considered to be the final version of the questionnaire.

    Conclusion:

    this instrument should facilitate nursing care management in hemodialysis, enabling the monitoring of adherence among these patients and also contribute to improving the indicators of morbidity and mortality.

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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.
    Cultural adaptation of The End-Stage Renal Disease Adherence Questionnaire for hemodialysis patients
  • RESEARCH01-01-2017

    Revalidation of game for teaching blood pressure auscultatory measurement: a pilot study

    Revista Brasileira de Enfermagem. 2017;70(6):1159-1168

    Abstract

    RESEARCH

    Revalidation of game for teaching blood pressure auscultatory measurement: a pilot study

    Revista Brasileira de Enfermagem. 2017;70(6):1159-1168

    DOI 10.1590/0034-7167-2016-0578

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    ABSTRACT

    Objective:

    To adapt a pre-existing educational game, making it specific to the teaching of blood pressure auscultatory measurement, and to apply this game in a pilot study.

    Method:

    The original game cards were altered by the authors and submitted to content validation by six experts in the field. After redesigns, the game was applied to 30 subjects, who answered a questionnaire (pre-test and post-test) on auscultatory measurement. Data were analyzed descriptively and by the paired Student’s t-test and paired Wilcoxon test.

    Results:

    Throughout the content validation process, 17 of the 28 original cards were modified. Of these 17 cards, 13 obtained 80% agreement, and the rest were modified according to the judges’ suggestions. The obtained grades significantly increased between pre- and the post-test.

    Conclusion:

    It was concluded that the reformulated game presented satisfactory evidence of content validity. Its use as a teaching-learning method was effective for this sample.

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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.
    Revalidation of game for teaching blood pressure auscultatory measurement: a pilot study

  • REVIEW09-06-2022

    Biosafety measures to prevent COVID-19 in healthcare professionals: an integrative review

    Revista Brasileira de Enfermagem. 2022;75(1):e20201191

    Abstract

    REVIEW

    Biosafety measures to prevent COVID-19 in healthcare professionals: an integrative review

    Revista Brasileira de Enfermagem. 2022;75(1):e20201191

    DOI 10.1590/0034-7167-2020-1191

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    ABSTRACT

    Objective:

    to identify the main biosafety measures for preventing COVID-19 in healthcare professionals.

    Methods:

    this is an integrative literature review, with studies published between January and July 2020, on the MEDLINE/PubMed, Scopus, Embase, Web of Science, LILACS, SciELo, Wiley Online Library, Cochrane CINAHL databases. The selection of studies followed the PRISMA recommendations.

    Results:

    among the 2,208 publications identified, 12 studies comprised the sample, which enabled the analysis in four thematic categories: The importance of using recommendations about the use of personal protective equipment; The restructuring of new operational and clinical routines and flows in the practice of services; Monitoring professionals, especially testing; Conducting training.

    Conclusions:

    the phenomena involved are innumerable, covering operational management and the training of teams to deal with highly infectious pathogens and disease outbreaks.

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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.
    Biosafety measures to prevent COVID-19 in healthcare professionals: an integrative review
  • ORIGINAL ARTICLE04-03-2020

    Analysis of the guiding rules of the nurse technician’s practice in Brazil

    Revista Brasileira de Enfermagem. 2020;73(3):e20180322

    Abstract

    ORIGINAL ARTICLE

    Analysis of the guiding rules of the nurse technician’s practice in Brazil

    Revista Brasileira de Enfermagem. 2020;73(3):e20180322

    DOI 10.1590/0034-7167-2018-0322

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    INTRODUCTIONThe institutionalization of nursing as a profession is characterized by the division of labor, marked by discipline and hierarchy, with the participation of several active agents, among which we can cite the nurse, the nurse technician, the nursing assistant, and the nursing attendant. The latter, although mentioned in the legislation, has been extinct since the […]
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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.
    Analysis of the guiding rules of the nurse technician’s practice in Brazil
  • REFLECTION06-04-2021

    Care in pediatric nursing from the perspective of emotions: from Nightingale to the present

    Revista Brasileira de Enfermagem. 2021;74(4):e20200377

    Abstract

    REFLECTION

    Care in pediatric nursing from the perspective of emotions: from Nightingale to the present

    Revista Brasileira de Enfermagem. 2021;74(4):e20200377

    DOI 10.1590/0034-7167-2020-0377

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    ABSTRACT

    Objective:

    Reflect on the evolution of pediatric nursing care from the perspective of emotions, from the conceptions of Florence Nightingale to the present.

    Method:

    Reflective study based on theoretical and experiential aspects of emotional care in pediatric nursing.

    Results:

    From Nightingale, there were many definitions regarding the nursing care in an integrative and humanist logic; and with certain bond to emotional dimension. That time, nursing care was based on the religious conceptions of charity and love of our neighbor and, despite the conceptualization that shapes nursing science today, such conceptions have not ceased to be its attribute, mainly in the care of pediatric nurses.

    Final considerations:

    In pediatric nursing, nurture care with affection and facilitate emotions management in each interaction nurse-child-family is crucial for caring. This emotional care should evolve into a competence that recognizes the expertise and merit of professional action.

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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 ARTICLE11-15-2022

    Reasons assigned to suicide attempts: adolescents’ perceptions

    Revista Brasileira de Enfermagem. 2022;75:e20210163

    Abstract

    ORIGINAL ARTICLE

    Reasons assigned to suicide attempts: adolescents’ perceptions

    Revista Brasileira de Enfermagem. 2022;75:e20210163

    DOI 10.1590/0034-7167-2021-0163

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    ABSTRACT

    Objective:

    identify the reasons for attempting suicide from the perspective of adolescents.

    Methods:

    qualitative study conducted with ten adolescents who attempted suicide and were attending a Centro de Atenção Psicossocial Infanto-Juvenil located in a city in the south of Brazil. Semi-structured interviews were held in July 2020 using WhatsApp. Data were analyzed according to Minayo’s Content Thematic Analysis.

    Results:

    the adolescents’ reports listed the reasons that triggered suicide attempts, such as changes in the adolescents’ life cycle and violence, which led them to attempt suicide to solve problems.

    Final considerations:

    Data analysis revealed the reasons that triggered suicide attempts from the adolescents’ perspective and difficulties to cope with problems, probably explained by their lack of experience in dealing with frustrations and disappointments.

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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 ARTICLE09-21-2020

    Transcultural theory in nursing care of women with infections

    Revista Brasileira de Enfermagem. 2020;73:e20190586

    Abstract

    ORIGINAL ARTICLE

    Transcultural theory in nursing care of women with infections

    Revista Brasileira de Enfermagem. 2020;73:e20190586

    DOI 10.1590/0034-7167-2019-0586

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    ABSTRACT

    Objective:

    To analyze how nurses consider, in their practice of healthcare, the sociocultural context of women with sexually transmitted infections.

    Method:

    Qualitative research, carried out in October 2017, with ten nurses working in teams of the Estratégia de Saúde da Família (Family Health Strategy). The data were collected through semi-structured interviews, subsequently transcribed, and submitted to the organization supported by the Discourse of the Collective Subject method and analyzed according to Madeleine Leininger’s transcultural theory.

    Results:

    Nurses identified the sociocultural aspects of women with sexually transmitted infections and recognized the presence of influencing factors: technological, religious, economic, political, and legal, kinship and social, cultural values, and lifeways.

    Final Considerations:

    The study found that the provision of care by nurses in Primary Health Care is close to the sociocultural aspects of these women when considering the beliefs and values of each individual, especially regarding the life context and their care experiences.

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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.
    Transcultural theory in nursing care of women with infections
  • REVIEW09-29-2022

    Palliative care in Primary Health Care: an integrative literature review

    Revista Brasileira de Enfermagem. 2022;75(1):e20201335

    Abstract

    REVIEW

    Palliative care in Primary Health Care: an integrative literature review

    Revista Brasileira de Enfermagem. 2022;75(1):e20201335

    DOI 10.1590/0034-7167-2020-1335

    Views0

    ABSTRACT

    Objectives:

    to analyze scientific evidence on the implementation and performance of palliative care in Primary Health Care.

    Methods:

    an integrative literature review, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, carried out in the PubMed, SciVerse Scopus and LILACS databases, in December 2020, without a time frame.

    Results:

    22 original scientific articles were analyzed, 14 classified as evidence level VI. The objective was to understand the experiences and roles of professionals, patients and families on palliative care in Primary Health Care, articles focused on the theme of management and organization of health services and on the importance of educational interventions on the subject.

    Final Considerations:

    evidence found relating palliative care in Primary Health Care points to the possibility of this care; health teams work closely with the family and their home, but the need to expand this theme is still perceived.

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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.
    Palliative care in Primary Health Care: an integrative literature review
  • REFLECTION10-26-2020

    Covid-19 pandemic and the motivations for demanding health service in indigenous villages

    Revista Brasileira de Enfermagem. 2020;73:e20200312

    Abstract

    REFLECTION

    Covid-19 pandemic and the motivations for demanding health service in indigenous villages

    Revista Brasileira de Enfermagem. 2020;73:e20200312

    DOI 10.1590/0034-7167-2020-0312

    Views0

    ABSTRACT

    Objective:

    To discuss the fundamental aspects in the establishment of preventive measures to tackle covid-19 among indigenous people in view of the motivations for seeking health care in villages of the Terra Indígena Buriti, Mato Grosso do Sul, Brazil.

    Methods:

    Theoretical-reflective study based on assumptions of the National Health System and previous ethnographic research that enabled the identification of the motivations to seek health care in Buriti villages.

    Results:

    Indigenous people seek health centers for health care programs assistance, treatment of cases they cannot resolve and to chat. Such motivations were the basis for discussing the indigenization process in the confrontation of the new coronavirus pandemic in indigenous lands.

    Final considerations:

    The motivations for seeking health care show the physical and social vulnerability of the Terena ethnicity. The effectiveness of the social isolation measure in the villages depends on the dialogue with indigenous leaders, professional engagement and intersectoral actions.

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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 ARTICLE12-13-2019

    Factors associated with low Apgar in newborns in birth center

    Revista Brasileira de Enfermagem. 2019;72:297-304

    Abstract

    ORIGINAL ARTICLE

    Factors associated with low Apgar in newborns in birth center

    Revista Brasileira de Enfermagem. 2019;72:297-304

    DOI 10.1590/0034-7167-2018-0924

    Views1

    ABSTRACT

    Objective:

    to analyze factors associated with Apgar of 5 minutes less than 7 of newborns of women selected for care at the Center for Normal Birth (ANC).

    Method:

    a descriptive cross-sectional study with data from 9,135 newborns collected between July 2001 and December 2012. The analysis used absolute and relative frequency frequencies and bivariate analysis using Pearson’s chi-square test or the exact Fisher.

    Results:

    fifty-three newborns (0.6%) had Apgar less than 7 in the 5th minute. The multivariate analysis found a positive association between low Apgar and gestational age less than 37 weeks, gestational pathologies and intercurrences in labor. The presence of the companion was a protective factor.

    Conclusion:

    the Normal Birth Center is a viable option for newborns of low risk women as long as the protocol for screening low-risk women is followed.

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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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