Base de dados : MEDLINE
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[PMID]:28746166
[Au] Autor:Schaffer EM; Agot K; Thirumurthy H
[Ad] Endereço:*Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC †Impact Research and Development Organization, Kisumu, Kenya ‡Carolina Population Center, Chapel Hill, NC.
[Ti] Título:The Association Between Intimate Partner Violence and Women's Distribution and Use of HIV Self-Tests With Male Partners: Evidence From a Cohort Study in Kenya.
[So] Source:J Acquir Immune Defic Syndr;76(3):e85-e87, 2017 11 01.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Sorodiagnóstico da AIDS/utilização
Infecções por HIV/diagnóstico
Violência por Parceiro Íntimo/estatística & dados numéricos
Programas de Rastreamento/métodos
Kit de Reagentes para Diagnóstico/utilização
Serviços de Saúde Reprodutiva
Parceiros Sexuais/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Infecções por HIV/psicologia
Acesso aos Serviços de Saúde
Seres Humanos
Quênia
Masculino
Programas de Rastreamento/psicologia
Ensaios Clínicos Controlados Aleatórios como Assunto
Estigma Social
Adulto Jovem
[Pt] Tipo de publicação:LETTER; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Reagent Kits, Diagnostic)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000001502


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[PMID]:28471339
[Au] Autor:López S; Faro C; Lopetegui L; Pujol-Ribera E; Monteagudo M; Avecilla-Palau À; Martínez C; Cobo J; Fernández MI
[Ad] Endereço:a Programmes for Sexual and Reproductive Care of Catalonia , Catalan Health Institute , Barcelona , Spain.
[Ti] Título:Child and Adolescent Sexual Abuse in Women Seeking Help for Sexual and Reproductive Mental Health Problems: Prevalence, Characteristics, and Disclosure.
[So] Source:J Child Sex Abus;26(3):246-269, 2017 Apr.
[Is] ISSN:1547-0679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This is a multicentric, descriptive, cross-sectional study of child and adolescent sexual abuse in women over 18 years in 24 primary care sexual and reproductive health centers in Catalonia. A total of 1,013 women were recruited; 345 (37.6%, 95% CI: 34.6-40.9) reported exposure to child sexual abuse: 32.4% disclosed being touched in a sexual way, and 9.6% reported completed sexual intercourse. Abuse occured before the age of 13 in 63.4% of respondents. The perpetrator was a relative or an acquaintance in almost 80% of cases. The risk was higher among women of Central or South American origin (OR: 2.86; 95% CI: 1.33-6.12). Only 31.9% of women disclosed the abuse and 17.3% were blamed. Abuse that involved attempted or completed sexual intercourse was significantly associated with recurrence, physical violence, and revictimization in adulthood.
[Mh] Termos MeSH primário: Adultos Sobreviventes de Maus-Tratos Infantis/psicologia
Abuso Sexual na Infância/psicologia
Transtornos Mentais/epidemiologia
Serviços de Saúde Reprodutiva/utilização
Autorrevelação
Disfunções Sexuais Psicogênicas/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Adultos Sobreviventes de Maus-Tratos Infantis/estatística & dados numéricos
Criança
Abuso Sexual na Infância/estatística & dados numéricos
Estudos Transversais
Feminino
Comportamento de Busca de Ajuda
Seres Humanos
Transtornos Mentais/etiologia
Meia-Idade
Prevalência
Disfunções Sexuais Psicogênicas/epidemiologia
Disfunções Sexuais Psicogênicas/etiologia
Espanha/epidemiologia
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10538712.2017.1288186


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[PMID]:29346375
[Au] Autor:Rivillas JC; Devia Rodriguez R; Song G; Martel A
[Ad] Endereço:Initiative of Research in Health Services and Systems, School of Public Health, University of Valle, Cali, Colombia.
[Ti] Título:How do we reach the girls and women who are the hardest to reach? Inequitable opportunities in reproductive and maternal health care services in armed conflict and forced displacement settings in Colombia.
[So] Source:PLoS One;13(1):e0188654, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: This paper assesses inequalities in access to reproductive and maternal health services among females affected by forced displacement and sexual and gender-based violence in conflict settings in Colombia. This was accomplished through the following approaches: first, we assessed the gaps and gradients in three selected reproductive and maternal health care services. Second, we analyzed the patterns of inequalities in reproductive and maternal health care services and changes over time. And finally, we identified challenges and strategies for reaching girls and women who are the hardest to reach in conflict settings, in order to accelerate progress towards universal health coverage and to contribute to meeting the Sustainable Development Goals of good health and well-being and gender equality by 2030. METHODS: Three types of data were required: data about health outcomes (relating to rates of females affected by conflict), information about reproductive and maternal health care services to provide a social dimension to unmask inequalities (unmet needs in family planning, antenatal care and skilled births attendance); and data on the female population. Data sources used include the National Information System for Social Protection, the National Registry of Victims, the National Administrative Department of Statistics, and Demographic Health Survey at three specific time points: 2005, 2010 and 2015. We estimated the slope index of inequality to express absolute inequality (gaps) and the concentration index to expresses relative inequality (gradients), and to understand whether inequality was eliminated over time. RESULTS: Our findings show that even though absolute health care service-related inequalities dropped over time, relative inequalities worsened or remain unchanged. All summary measures still indicated the existence of inequalities as well as common patterns. Our findings suggest that there is a pattern of marginal exclusion and incremental patterns of inequality in the reproductive and maternal health care service provided to female affected by armed conflict. CONCLUSIONS: Overall, the effects of conflict continue to threaten reproductive and maternal health in Colombia, impeding progress towards the realization of universal health care (UHC) and reinforcing already-existing inequities. Key messages and steps forward include the need to understand the two distinct patterns of inequalities identified in this study in order to prompt improved general policy responses. Addressing unmet needs in reproductive and maternal health requires supporting gender equality and prioritizing the girls and women in regions with the highest rates of victims of armed conflict, with the objective of leaving no girl or woman behind. This analysis represents the first attempt to analyze coverage-related inequality in reproductive and maternal health care services for female affected by armed conflict in Colombia. As the World Health Organization and global health systems leaders call for more inclusive engagement, this approach may serve as the key to shaping people-centred health systems. In this particular case, health care facilities must be located in close proximity to girls and women in conflict and post-conflict settings in order to deliver essential reproductive and maternal health care services. Finally, reducing inequalities in opportunities would not only promote equity, but also drive sustainable development.
[Mh] Termos MeSH primário: Disparidades em Assistência à Saúde
Serviços de Saúde Materna/organização & administração
Serviços de Saúde Reprodutiva/organização & administração
Guerra
[Mh] Termos MeSH secundário: Adolescente
Adulto
Colômbia
Estudos Transversais
Feminino
Seres Humanos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180119
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188654


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[PMID]:29266079
[Au] Autor:Committee on Health Care for Underserved Women
[Ti] Título:ACOG Committee Opinion No. 729: Importance of Social Determinants of Health and Cultural Awareness in the Delivery of Reproductive Health Care.
[So] Source:Obstet Gynecol;131(1):e43-e48, 2018 01.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Awareness of the broader contexts that influence health supports respectful, patient-centered care that incorporates lived experiences, optimizes health outcomes, improves communication, and can help reduce health and health care inequities. Although there is little doubt that genetics and lifestyle play an important role in shaping the overall health of individuals, interdisciplinary researchers have demonstrated how the conditions in the environment in which people are born, live, work, and age, play equally as important a role in shaping health outcomes. These factors, referred to as social determinants of health, are shaped by historical, social, political, and economic forces and help explain the relationship between environmental conditions and individual health. Recognizing the importance of social determinants of health can help obstetrician-gynecologists and other health care providers better understand patients, effectively communicate about health-related conditions and behavior, and improve health outcomes.
[Mh] Termos MeSH primário: Conscientização
Guias de Prática Clínica como Assunto
Serviços de Saúde Reprodutiva/normas
Saúde Reprodutiva
Determinantes Sociais da Saúde/ética
[Mh] Termos MeSH secundário: Comitês Consultivos/normas
Competência Cultural
Feminino
Ginecologia/normas
Seres Humanos
Obstetrícia/normas
Assistência Centrada no Paciente
Gravidez
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002459


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[PMID]:29266073
[Ti] Título:ACOG Committee Opinion No. 729 Summary: Importance Of Social Determinants Of Health And Cultural Awareness In The Delivery Of Reproductive Health Care.
[So] Source:Obstet Gynecol;131(1):198-199, 2018 Jan.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Awareness of the broader contexts that influence health supports respectful, patient-centered care that incorporates lived experiences, optimizes health outcomes, improves communication, and can help reduce health and health care inequities. Although there is little doubt that genetics and lifestyle play an important role in shaping the overall health of individuals, interdisciplinary researchers have demonstrated how the conditions in the environment in which people are born, live, work, and age, play equally as important a role in shaping health outcomes. These factors, referred to as social determinants of health, are shaped by historical, social, political, and economic forces and help explain the relationship between environmental conditions and individual health. Recognizing the importance of social determinants of health can help obstetrician-gynecologists and other health care providers better understand patients, effectively communicate about health-related conditions and behavior, and improve health outcomes.
[Mh] Termos MeSH primário: Assistência à Saúde/métodos
Guias de Prática Clínica como Assunto
Serviços de Saúde Reprodutiva/normas
Saúde Reprodutiva
[Mh] Termos MeSH secundário: Adulto
Comitês Consultivos
Conscientização
Características Culturais
Feminino
Seres Humanos
Gravidez
Determinantes Sociais da Saúde
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002453


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[PMID]:28455455
[Au] Autor:Torjesen I
[Ad] Endereço:London.
[Ti] Título:Sexual healthcare must not be allowed to become "Cinderella" of NHS, warns royal college chair.
[So] Source:BMJ;357:j2118, 2017 04 28.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Garantia da Qualidade dos Cuidados de Saúde/economia
Serviços de Saúde Reprodutiva/economia
Medicina Estatal
[Mh] Termos MeSH secundário: Comitês Consultivos
Análise Custo-Benefício
Seres Humanos
Garantia da Qualidade dos Cuidados de Saúde/normas
Serviços de Saúde Reprodutiva/normas
Medicina Estatal/economia
Medicina Estatal/normas
Reino Unido
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180101
[Lr] Data última revisão:
180101
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j2118


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[PMID]:29232377
[Au] Autor:Leslie HH; Sun Z; Kruk ME
[Ad] Endereço:Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America.
[Ti] Título:Association between infrastructure and observed quality of care in 4 healthcare services: A cross-sectional study of 4,300 facilities in 8 countries.
[So] Source:PLoS Med;14(12):e1002464, 2017 Dec.
[Is] ISSN:1549-1676
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: It is increasingly apparent that access to healthcare without adequate quality of care is insufficient to improve population health outcomes. We assess whether the most commonly measured attribute of health facilities in low- and middle-income countries (LMICs)-the structural inputs to care-predicts the clinical quality of care provided to patients. METHODS AND FINDINGS: Service Provision Assessments are nationally representative health facility surveys conducted by the Demographic and Health Survey Program with support from the US Agency for International Development. These surveys assess health system capacity in LMICs. We drew data from assessments conducted in 8 countries between 2007 and 2015: Haiti, Kenya, Malawi, Namibia, Rwanda, Senegal, Tanzania, and Uganda. The surveys included an audit of facility infrastructure and direct observation of family planning, antenatal care (ANC), sick-child care, and (in 2 countries) labor and delivery. To measure structural inputs, we constructed indices that measured World Health Organization-recommended amenities, equipment, and medications in each service. For clinical quality, we used data from direct observations of care to calculate providers' adherence to evidence-based care guidelines. We assessed the correlation between these metrics and used spline models to test for the presence of a minimum input threshold associated with good clinical quality. Inclusion criteria were met by 32,531 observations of care in 4,354 facilities. Facilities demonstrated moderate levels of infrastructure, ranging from 0.63 of 1 in sick-child care to 0.75 of 1 for family planning on average. Adherence to evidence-based guidelines was low, with an average of 37% adherence in sick-child care, 46% in family planning, 60% in labor and delivery, and 61% in ANC. Correlation between infrastructure and evidence-based care was low (median 0.20, range from -0.03 for family planning in Senegal to 0.40 for ANC in Tanzania). Facilities with similar infrastructure scores delivered care of widely varying quality in each service. We did not detect a minimum level of infrastructure that was reliably associated with higher quality of care delivered in any service. These findings rely on cross-sectional data, preventing assessment of relationships between structural inputs and clinical quality over time; measurement error may attenuate the estimated associations. CONCLUSION: Inputs to care are poorly correlated with provision of evidence-based care in these 4 clinical services. Healthcare workers in well-equipped facilities often provided poor care and vice versa. While it is important to have strong infrastructure, it should not be used as a measure of quality. Insight into health system quality requires measurement of processes and outcomes of care.
[Mh] Termos MeSH primário: Serviços de Saúde da Criança/normas
Países em Desenvolvimento
Equipamentos e Provisões/provisão & distribuição
Instalações de Saúde
Pessoal de Saúde/educação
Admissão e Escalonamento de Pessoal/normas
Preparações Farmacêuticas/provisão & distribuição
Qualidade da Assistência à Saúde
Serviços de Saúde Reprodutiva/normas
[Mh] Termos MeSH secundário: Adulto
Criança
Estudos Transversais
Serviços de Planejamento Familiar/normas
Feminino
Fidelidade a Diretrizes
Haiti
Seres Humanos
Recém-Nascido
Quênia
Malaui
Serviços de Saúde Materna/normas
Namíbia
Guias de Prática Clínica como Assunto
Gravidez
Ruanda
Senegal
Tanzânia
Uganda
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Pharmaceutical Preparations)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171224
[Lr] Data última revisão:
171224
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pmed.1002464


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[PMID]:28850627
[Au] Autor:Meskarian R; Penn ML; Williams S; Monks T
[Ad] Endereço:NIHR CLAHRC Wessex Methodological Hub, Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom.
[Ti] Título:A facility location model for analysis of current and future demand for sexual health services.
[So] Source:PLoS One;12(8):e0183942, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this paper we address the clinic location selection problem for a fully integrated Sexual Health Service across Hampshire. The service provides outpatient services for Genito-Urinary Medicine, contraceptive and reproductive health, sexual health promotion and a sexual assault referral centre. We aim to assist the planning of sexual health service provision in Hampshire by conducting a location analysis using both current and predicted patient need. We identify the number of clinic locations required and their optimal geographic location that minimise patient travel time. To maximise the chances of uptake of results we validate the developed simple algorithm with an exact method as well as three well-known, but complex meta-heuristics. The analysis was conducted using car travel and public transport times. Two scenarios were considered: current clinic locations only; and anywhere within Hampshire. The results show that the clinic locations could be reduced from 28 to 20 and still keep 90% of all patient journeys by public transport (e.g. by bus or train) to a clinic within 30 minutes. The number of clinics could be further reduced to 8 if the travel time is based on car travel times within 15 minutes. Results from our simple solution method compared favourably to the exact solution as well as the complex meta-heuristics.
[Mh] Termos MeSH primário: Acesso aos Serviços de Saúde
Necessidades e Demandas de Serviços de Saúde
Modelos Teóricos
Serviços de Saúde Reprodutiva
Saúde Reprodutiva
[Mh] Termos MeSH secundário: Algoritmos
Seres Humanos
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183942


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[PMID]:28820226
[Au] Autor:Sohrabizadeh S
[Ad] Endereço:Assistant Professor, Department of Health in Disasters and Emergencies, School of Health, Safety and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
[Ti] Título:Women's status in disasters: A gap between experts' desk and affected fields of Iran.
[So] Source:J Emerg Manag;15(2):77-80, 2017 Mar/Apr.
[Is] ISSN:1543-5865
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Although international agreements have achieved significant milestones in the improvement of women's status, experiences from the fields show a discrepancy between words and actions. The aim of this brief communication was to identify the gap between experts' perceptions and the findings of a large qualitative field survey on women's status in the recent natural disasters of Iran. A total of 10 experts were asked to fill a checklist, which consisted of the concepts extracted from field data. The range of agreement between experts' perceptions and field data was between 40 and 100 percent. In conclusion, although literature review and international research papers can provide appropriate information for both experts and managers, meeting the various needs of women living in the affected regions requires field-based surveys.
[Mh] Termos MeSH primário: Desastres
Serviços de Saúde Reprodutiva
Delitos Sexuais
Participação Social
Saúde da Mulher
Mulheres
[Mh] Termos MeSH secundário: Adulto
Prova Pericial
Feminino
Necessidades e Demandas de Serviços de Saúde
Seres Humanos
Irã (Geográfico)
Masculino
Meia-Idade
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE


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[PMID]:28809948
[Au] Autor:Tangmunkongvorakul A; Musumari PM; Srithanaviboonchai K; Manoyos V; Techasrivichien T; Suguimoto SP; Ono-Kihara M; Kihara M; Chariyalertsak S
[Ad] Endereço:Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand.
[Ti] Título:"When I first saw a condom, I was frightened": A qualitative study of sexual behavior, love and life of young cross-border migrants in urban Chiang Mai, Thailand.
[So] Source:PLoS One;12(8):e0183255, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Many young migrant workers move across the border to Chiang Mai, a major city in Northern Thailand, in search of work opportunities. This study describes their sexual behavior, lifestyles, relationships and experiences with youth-friendly sexual and reproductive health (SRH) services. METHODS: This is the qualitative arm of a mixed methods study using focus group discussions (FGDs) among young MWs aged 15-24 years in urban Chiang Mai. We conducted 6 FGDs with 84 participants (43 males, 41 females) organized in groups of 10-15 people, including 3 groups of males, 2 groups of females, and 1 group of both males and females. RESULTS: We found that the lack of parental control, pressure to assimilate into Thai society, access to social media and modern communication technologies, and limited knowledge and access to sexual and reproductive health (SRH) services interplayed to shape lifestyle and sexual behaviors, including low condom use among young migrants. CONCLUSION: The present study helped discern the vulnerability of young migrants to adverse SRH outcomes. This particular group of youth needs urgent intervention to improve their knowledge on SRH and access to a youth-friendly clinic to help them personalize risk of HIV and other adverse SRH outcomes.
[Mh] Termos MeSH primário: Preservativos
Pesquisa Qualitativa
Comportamento Sexual/psicologia
Comportamento Sexual/estatística & dados numéricos
Migrantes/psicologia
Migrantes/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Grupos Focais
Seres Humanos
Masculino
Serviços de Saúde Reprodutiva/estatística & dados numéricos
População Rural/estatística & dados numéricos
Tailândia
População Urbana/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170816
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183255



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