Base de dados : MEDLINE
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[PMID]:29415030
[Au] Autor:Lerman S; Jung M; Arredondo EM; Barnhart JM; Cai J; Castañeda SF; Daviglus ML; Espinoza RA; Giachello AL; Molina KM; Perreira K; Salgado H; Wassertheil-Smoller S; Kaplan RC
[Ad] Endereço:University of Massachusetts Medical School, Division of Preventive & Behavioral Medicine, Worcester, MA, United States of America.
[Ti] Título:Religiosity prevalence and its association with depression and anxiety symptoms among Hispanic/Latino adults.
[So] Source:PLoS One;13(2):e0185661, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Religion plays an important role in the lives of people in the United States. We examined the prevalence of religiosity among Hispanic/Latinos in four regions of the United States and looked at its correlation to depression and anxiety symptoms. DESIGN: The population-based Hispanic Community Health Study/ Study of Latinos enrolled a cohort of Hispanic/Latino adults (N = 16,415) ages 18-74 in four US cities from June 2008 to June 2011. Participants with complete data on religiosity (i.e., religious affiliation, frequency of attending religious activities and importance of religion), depression (assessed with the CESD-10), and trait anxiety (assessed with the STAI-10) were included in the present study. Distribution of religiosity is described by sociodemographic characteristics. Associations between religiosity with depression and anxiety were examined with logistic regression models controlling for sex, age group, education, Hispanic/Latino background, clinical center, and nativity. RESULTS: The majority of the population (89.5%) reported having a religious affiliation. Weekly attendance at religious activities was reported by 41.6% of participants, while 20.6% did not attend any religious activities. Religion was very important to 63.9% and not at all important to 6.7% of the population. The CES-D scores and trait anxiety scores were not significantly related in the overall group to frequency of attending religious activity or perceived importance of religion. However, in age-stratified analyses, among older individuals (65+ years old) reporting "never" participating in religious activities compared to more than once per week was associated with an 80% higher likelihood of having high depressive symptomatology. Similarly, in the older age group, no religious affiliation or reporting that religion is "not at all important" was associated with greater anxiety symptomatology. CONCLUSION: Religiosity varied by Hispanic/Latino background. Lack of religiosity was associated with elevated depressive or anxiety symptomology in older adults but not in young or middle-aged adults.
[Mh] Termos MeSH primário: Ansiedade/psicologia
Depressão/psicologia
Hispano-Americanos/psicologia
Religião
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Ansiedade/epidemiologia
Depressão/epidemiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Prevalência
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185661


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[PMID]:29219248
[Au] Autor:Mackworth-Young CR; Bond V; Wringe A; Konayuma K; Clay S; Chiiya C; Chonta M; Sievwright K; Stangl AL
[Ad] Endereço:Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom.
[Ti] Título:"My mother told me that I should not": a qualitative study exploring the restrictions placed on adolescent girls living with HIV in Zambia.
[So] Source:J Int AIDS Soc;20(4), 2017 Dec.
[Is] ISSN:1758-2652
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Adolescent girls in sub-Saharan Africa are disproportionately affected by HIV due to a range of social and structural factors. As they transition to adulthood, they are recipients of increasing blame for HIV infection and 'improper' sex, as well as increasing scrutiny, restrictions and surveillance. This study used a qualitative and participatory approach to explore the messaging and restrictions imposed on adolescent girls living with HIV in Zambia. METHODS: Thirty-four in-depth interviews and four participatory workshops were carried out with 24 adolescent girls aged 15 to 19 years old living with HIV in Lusaka, Zambia. Key themes explored included experiences living with HIV, finding out about HIV status, disclosure, experiences with antiretroviral treatment, and support needs. Data were organized, coded and analysed using a grounded theory approach to thematic analysis. This analysis uses data on participants' experiences of living with HIV and their interactions with their parents, guardians and healthcare providers. RESULTS: Family and healthcare providers, partly in a quest to protect both the health of adolescent girls living with HIV and also to protect them from blaming discourse, imposed restrictions on their behaviour around three main topics: don't disclose your HIV status, don't have sex, and don't miss your medicines. These restrictions were often delivered using tactics of fear, and usually disconnected from other options. Participants responded to these messages in several ways, including internalizing the messages, changing their behaviour either to comply with or resist the restrictions, by remaining silent and anxious when restrictions were broken, and developing concerns around their own health and sexual and reproductive aspirations. Participants also sometimes experiencing stigma when restrictions could not be maintained. CONCLUSIONS: Restrictive messages were delivered to adolescent girls living with HIV through the broader social discourses of stigma, religion, and global and local narratives about HIV. Programmes aiming to support adolescent girls living with HIV need to work together with parents and healthcare providers to reflect on the impact of sanctioning messages, and to encourage more enabling and empowering messaging for adolescent girls living with HIV.
[Mh] Termos MeSH primário: Infecções por HIV/psicologia
Responsabilidade Social
Estigma Social
[Mh] Termos MeSH secundário: Adolescente
Atitude Frente à Saúde
Medo
Feminino
Pessoal de Saúde
Seres Humanos
Pesquisa Qualitativa
Religião
Comportamento Sexual
Zâmbia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE
[do] DOI:10.1002/jia2.25035


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[PMID]:29261682
[Au] Autor:Idler E; Blevins J; Kiser M; Hogue C
[Ad] Endereço:Department of Sociology, Emory University, Atlanta, Georgia, United States of America.
[Ti] Título:Religion, a social determinant of mortality? A 10-year follow-up of the Health and Retirement Study.
[So] Source:PLoS One;12(12):e0189134, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The social determinants of health framework has brought a recognition of the primary importance of social forces in determining population health. Research using this framework to understand the health and mortality impact of social, economic, and political conditions, however, has rarely included religious institutions and ties. We investigate a well-measured set of social and economic determinants along with several measures of religious participation as predictors of adult mortality. Respondents (N = 18,370) aged 50 and older to the Health and Retirement Study were interviewed in 2004 and followed for all-cause mortality to 2014. Exposure variables were religious attendance, importance, and affiliation. Other social determinants of health included gender, race/ethnicity, education, household income, and net worth measured at baseline. Confounders included physical and mental health. Health behaviors and social ties were included as potential explanatory variables. Cox proportional hazards regressions were adjusted for complex sample design. After adjustment for confounders, attendance at religious services had a dose-response relationship with mortality, such that respondents who attended frequently had a 40% lower hazard of mortality (HR = 0.60, 95% CI 0.53-0.68) compared with those who never attended. Those for whom religion was "very important" had a 4% higher hazard (HR = 1.04, 95% CI 1.01-1.07); religious affiliation was not associated with risk of mortality. Higher income and net worth were associated with a reduced hazard of mortality as were female gender, Latino ethnicity, and native birth. Religious participation is multi-faceted and shows both lower and higher hazards of mortality in an adult US sample in the context of a comprehensive set of other social and economic determinants of health.
[Mh] Termos MeSH primário: Comportamentos Relacionados com a Saúde
Mortalidade
Religião
Aposentadoria
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Modelos de Riscos Proporcionais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189134


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[PMID]:29283036
[Au] Autor:Padmanabhan D
[Ad] Endereço:a School of Social Sciences, Jawaharlal Nehru University , New Delhi , India.
[Ti] Título:From distress to disease: a critique of the medicalisation of possession in DSM-5.
[So] Source:Anthropol Med;24(3):261-275, 2017 Dec.
[Is] ISSN:1469-2910
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This paper critiques the category of possession-form dissociative identity disorder as defined in the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5) published in 2013 by the American Psychiatric Association (APA). The DSM as an index of psychiatry pathologises possession by categorising it as a form of dissociative identity disorder. Drawing upon ethnographic fieldwork, this paper argues that such a pathologisation medicalises possession, which is understood as a non-pathological condition in other contexts such as by those individuals who manifest possession at a temple in Kerala, South India. Through medicalising and further by creating distinctions between acceptable and pathological possession, the DSM converts a form of distress into a disease. This has both conceptual and pragmatic implications. The temple therefore becomes reduced to a culturally acceptable site for the manifestation of a mental illness in a form that is culturally available and possession is explained solely through a biomedical framework, denying alternative conceptualisations and theories which inform possession. By focussing on the DSM-5 classification of possession and the limitations of such a classification, this paper seeks to posit an alternative conceptualisation of possession by engaging with three primary areas which are significant in the DSM categorisation of possession: the DSM's conceptualisation of self in the singular, the distinction between pathological and non-pathological forms of possession, and the limitations of the DSM's equation of the condition of possession with the manifestation of possession. Finally, the paper briefly highlights alternative conceptualisations of possession, which emerged from the perspective of those seeking to heal possession at the Chottanikkara temple.
[Mh] Termos MeSH primário: Manual Diagnóstico e Estatístico de Transtornos Mentais
Medicalização
Transtornos Mentais/diagnóstico
Possessão Espiritual
[Mh] Termos MeSH secundário: Antropologia Médica
Seres Humanos
Índia
Transtornos Mentais/classificação
Transtornos Mentais/economia
Religião
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171229
[St] Status:MEDLINE
[do] DOI:10.1080/13648470.2017.1389168


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[PMID]:29283035
[Au] Autor:Naraindas H
[Ad] Endereço:a CSSS, School of Social Sciences, Jawaharlal Nehru University , New Delhi , India.
[Ti] Título:Of sacraments, sacramentals and anthropology: is anthropological explanation sacramental?
[So] Source:Anthropol Med;24(3):276-300, 2017 Dec.
[Is] ISSN:1469-2910
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This paper suggests that what is usually called a cultural misunderstanding of biomedical disease categories may be construed as a biomedical and anthropological misunderstanding of cultural categories. This is premised on the fact that anthropology often functions as an intimate double and handmaiden of biomedicine, in so far as it refuses to countenance the possibility of theurgic aetiologies in the realm of what is called 'mental illness'. Such a refusal displaces native explanations of divine or demonic agency to human agency. This is best elucidated by examining the unexamined religious beliefs of Anglo-European anthropology, which appears to be the terra firma of its emic explanatory categories. The paper attempts to demonstrate this by proposing that while native explanations are akin to the sacraments, anthropological explanations are akin to sacramentals (holy water, the cross, the scapular, verbal blessings). While the sacraments, like divine agency, operate ex opere operato, the sacramentals are dependent on the disposition of the recipient and on the good offices of the church, as they operate ex opere operantis ecclesiae (from the work of the working church), as well as ex opere operantis (from the work of the working one). If the sacraments are efficacious as it is work done by Christ alone, and akin to work done by the possessing agent, sacramentals are efficacious as they are also dependent on human agency. In other words, anthropological explanations are, at best, 'sacramental' as they replace emic theurgic explanations by etic ones, where human agency in the form of the priest, the institution of the church, and the lay person who is the recipient of divine dispensation, also have a role to play; or, as is often the case, the only role to play.
[Mh] Termos MeSH primário: Antropologia Médica
Comportamento Ritualístico
Religião e Psicologia
Religião
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Índia
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171229
[St] Status:MEDLINE
[do] DOI:10.1080/13648470.2017.1389167


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[PMID]:28456471
[Au] Autor:Saeed A; Farooq S
[Ti] Título:"I Can't Go Out": Mobility Obstacles to Women's Access to HIV Treatment in KPK, Pakistan.
[So] Source:J Assoc Nurses AIDS Care;28(4):561-574, 2017 Jul - Aug.
[Is] ISSN:1552-6917
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We examined the role of outside mobility constraints as barriers to HIV treatment for Pakistani women living with HIV (WLWH) whose husbands were permanently living in other cities. We focused on Khyber Pakhtunkhwa (KPK), which adheres to conservative social and cultural values for female mobility. Open-ended interviews were conducted with 21 WLWH. We found that women's mobility outside the home was shaped by the system of parda (seclusion) and that a husband's lack of support by not being present for clinical appointments, distance to the HIV clinic, and ages of children emerged as crucial contributors to women's outside mobility and their subsequent abilities to access HIV care. These obstacles were more acute for women living with in-laws rather than in nuclear families. Policymakers need to better understand the nuances of local cultures in which women seek HIV treatment so that they can devise practical, culturally appropriate, and acceptable programs.
[Mh] Termos MeSH primário: Infecções por HIV/psicologia
Acesso aos Serviços de Saúde
Apoio Social
Cônjuges/psicologia
[Mh] Termos MeSH secundário: Adulto
Cultura
Características da Família
Feminino
Infecções por HIV/diagnóstico
Seres Humanos
Entrevistas como Assunto
Meia-Idade
Paquistão
Pesquisa Qualitativa
Religião
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:IM; N; X
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE


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[PMID]:29183081
[Au] Autor:Goodwin ML
[Ad] Endereço:Department of Orthopaedics, University of Utah, Salt Lake City.
[Ti] Título:Salt of the Earth.
[So] Source:JAMA;318(20):1977-1978, 2017 Nov 28.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Empatia
Relações Pai-Filho
Relações Médico-Paciente
[Mh] Termos MeSH secundário: Seres Humanos
Relações Interpessoais
Masculino
Religião
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171213
[Lr] Data última revisão:
171213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.15843


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[PMID]:29027769
[Au] Autor:Internal Revenue Service, Department of the Treasurey.; Employee Benefits Security Administration, Department of Labor.; Centers for Medicare & Medicaid Services, Department of Health and Human Services.
[Ti] Título:Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act. Interim final rules with request for comments.
[So] Source:Fed Regist;82(197):47838-62, 2017 Oct 13.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs or moral convictions. These interim final rules expand exemptions to protect moral convictions for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration, a component of the United States Department of Health and Human Services, to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also provide certain morally objecting entities access to the voluntary "accommodation" process regarding such coverage. These rules do not alter multiple other Federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy.
[Mh] Termos MeSH primário: Anticoncepção/economia
Anticoncepção/ética
Anticoncepcionais Femininos/economia
Cobertura do Seguro/economia
Cobertura do Seguro/legislação & jurisprudência
Princípios Morais
Patient Protection and Affordable Care Act/economia
Patient Protection and Affordable Care Act/legislação & jurisprudência
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Gravidez
Religião
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptive Agents, Female)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171015
[St] Status:MEDLINE


  9 / 12168 MEDLINE  
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[PMID]:29027768
[Au] Autor:Internal Revenue Services, Department of the Treasury.; Employee Benefits Security Administration, Department of Labor.; Centers for Medicare & Medicaid Services, Department of Health and Human Services.
[Ti] Título:Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act. Interim final rules with request for comments.
[So] Source:Fed Regist;82(197):47792-835, 2017 Oct 13.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs and moral convictions. These interim final rules expand exemptions to protect religious beliefs for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration (HRSA), a component of the United States Department of Health and Human Services (HHS), to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also leave the "accommodation" process in place as an optional process for certain exempt entities that wish to use it voluntarily. These rules do not alter multiple other Federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy.
[Mh] Termos MeSH primário: Anticoncepção/economia
Anticoncepcionais Femininos/economia
Cobertura do Seguro/economia
Cobertura do Seguro/legislação & jurisprudência
Patient Protection and Affordable Care Act/economia
Patient Protection and Affordable Care Act/legislação & jurisprudência
Religião
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Gravidez
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptive Agents, Female)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171015
[St] Status:MEDLINE


  10 / 12168 MEDLINE  
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[PMID]:29016651
[Au] Autor:Miiro G; DeCelles J; Rutakumwa R; Nakiyingi-Miiro J; Muzira P; Ssembajjwe W; Musoke S; Gibson LJ; Hershow RB; Francis S; Torondel B; Ross DA; Weiss HA; MENISCUS project
[Ad] Endereço:Uganda Virus Research Institute, Entebbe, Uganda.
[Ti] Título:Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda.
[So] Source:PLoS One;12(10):e0185929, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Ugandan government is committed to scaling-up proven HIV prevention strategies including safe male circumcision, and innovative strategies are needed to increase circumcision uptake. The aim of this study was to assess the acceptability and feasibility of implementing a soccer-based intervention ("Make The Cut") among schoolboys in a peri-urban district of Uganda. The intervention was led by trained, recently circumcised "coaches" who facilitated a 60-minute session delivered in schools, including an interactive penalty shoot-out game using metaphors for HIV prevention, sharing of the coaches' circumcision story, group discussion and ongoing engagement from the coach to facilitate linkage to male circumcision. The study took place in four secondary schools in Entebbe sub-district, Uganda. Acceptability of safe male circumcision was assessed through a cross-sectional quantitative survey. The feasibility of implementing the intervention was assessed by piloting the intervention in one school, modifying it, and implementing the modified version in a second school. Perceptions of the intervention were assessed with in-depth interviews with participants. Of the 210 boys in the cross-sectional survey, 59% reported being circumcised. Findings showed high levels of knowledge and generally favourable perceptions of circumcision. The initial implementation of Make The Cut resulted in 6/58 uncircumcised boys (10.3%) becoming circumcised. Changes made included increasing engagement with parents and improved liaison with schools regarding the timing of the intervention. Following this, uptake improved to 18/69 (26.1%) in the second school. In-depth interviews highlighted the important role of family and peer support and the coach in facilitating the decision to circumcise. This study showed that the modified Make The Cut intervention may be effective to increase uptake of safe male circumcision in this population. However, the intervention is time-intensive, and further work is needed to assess the cost-effectiveness of the intervention conducted at scale.
[Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas/epidemiologia
Circuncisão Masculina
Infecções por HIV/epidemiologia
Infecções por HIV/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
HIV/patogenicidade
Infecções por HIV/virologia
Seres Humanos
Masculino
Pais
Religião
Instituições Acadêmicas
Futebol
Uganda
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185929



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