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c
t
i
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n
.
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h
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da
t
a
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l
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t
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m
t
h
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a
b
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ve
s
a
m
p
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too
k
a
r
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un
d
6
m
o
n
t
h
s
t
o
b
e
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o
m
p
l
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e
d
a
s
p
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a
nn
e
d.
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pr
e
t
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s
t
e
d,
pr
e
f
o
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m
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d
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n
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vi
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we
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b
a
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d
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d
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l
o
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n
de
d
que
s
t
i
o
nn
a
i
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w
a
s
us
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d
to
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o
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l
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c
t
da
t
a
f
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t
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udy
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r
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i
c
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n
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s
.
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h
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da
t
a
wa
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n
t
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by
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ud
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t
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l
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c
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l
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r
kpl
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e
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que
r
y
r
a
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s
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d
dur
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n
g
t
h
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ti
m
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wa
s
a
ns
we
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d
t
o
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a
t
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s
f
a
c
t
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o
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o
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t
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r
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c
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p
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t
s
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e
a
ppo
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t
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t
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s
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ke
n
f
r
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pa
r
t
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s
w
h
o
we
r
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o
t
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v
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il
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ve
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t
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m
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o
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a
t
t
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de
s
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d
s
a
m
p
l
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z
e
c
a
l
c
u
l
a
t
e
d
wa
s
r
e
a
c
h
e
d.
All
t
h
e
da
t
a
wa
s
e
n
t
e
r
e
d
i
n
t
h
e
S
P
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o
f
t
wa
r
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a
n
d
s
t
a
t
i
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t
i
c
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l
a
n
a
ly
s
i
s
do
ne
.
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t
a
t
i
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i
c
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l
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s
t
s
l
i
ke
m
o
d
i
f
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e
d
P
e
a
r
s
o
n’
s
C
hi
s
qua
r
e
t
e
s
t
s
a
n
d
a
n
a
ly
s
i
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o
f
v
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a
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s
us
e
d
t
o
f
i
nd
o
ut
t
h
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s
i
g
ni
f
i
c
a
n
c
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o
f
t
he
kn
o
w
l
e
dge
,
a
t
t
i
t
ude
a
n
d
pr
a
c
t
i
c
e
o
f
he
a
l
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h
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a
r
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de
r
s
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he
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o
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i
a
l
m
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d
i
a
f
o
r
pa
t
i
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n
t
c
a
r
e
.
A
95%
de
gr
e
e
o
f
f
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e
do
m
w
i
t
h
p
-
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a
l
ue
o
f
<
0.
05
wo
ul
d
b
e
c
o
n
s
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de
r
e
d
a
s
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t
a
t
i
s
t
i
c
a
ll
y
s
i
g
ni
f
i
c
a
n
t
.
2.
1.
E
t
h
ical
Cons
id
e
r
at
ion
s
P
a
r
t
i
c
i
pa
t
i
o
n
c
o
ns
e
n
t
f
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t
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p
hy
s
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c
i
a
n
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ke
n
a
f
t
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y
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t
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o
r
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ughl
y
b
r
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d
a
b
o
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t
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m
a
n
d
o
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e
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t
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v
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f
t
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ud
y
a
n
d
t
h
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a
dv
a
n
t
a
ge
to
t
h
e
m
a
s
we
ll
a
s
to
t
h
e
c
o
m
m
u
ni
t
y
due
to
t
h
e
i
m
pa
c
t
o
f
t
hi
s
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
S
S
N:
2252
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8806
Opinion
o
f
He
alt
hc
ar
e
P
r
of
e
s
s
ional
s
in
the
Us
age
of
Soc
ial
M
e
dia
f
or
P
ati
e
nt
.
.
.
.
(
Sy
e
d
M
e
r
aj
A
hme
d
)
15
s
t
udy
.
T
h
e
y
we
r
e
a
s
s
ur
e
d
t
h
a
t
a
l
l
t
h
e
i
nf
o
r
m
a
t
i
o
n
wo
ul
d
b
e
ke
pt
pu
r
e
l
y
c
o
nf
i
de
n
t
i
a
l
a
n
d
w
il
l
o
nly
b
e
us
e
d
f
o
r
s
t
a
t
i
s
t
i
c
a
l
a
n
a
ly
s
i
s
.
2.
2.
I
n
c
l
u
s
ion
an
d
e
x
c
l
u
s
ion
c
r
it
e
r
ia
All
t
h
e
p
hy
s
i
c
i
a
n
/
s
p
e
c
i
a
li
s
t
s
w
h
o
a
r
e
wor
ki
n
g
o
r
r
e
s
i
d
i
ng
i
n
M
a
jm
a
a
h
c
i
t
y
w
e
r
e
i
n
-
c
l
ude
d
i
n
t
h
e
s
t
udy
.
Any
s
t
ud
y
pa
r
t
i
c
i
pa
n
t
s
wh
o
v
o
l
u
n
t
a
r
i
ly
r
e
f
us
e
d
t
o
pa
r
t
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c
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pa
t
e
i
n
t
h
e
s
t
ud
y
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n
d
p
hy
s
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c
i
a
n
s
pr
a
c
t
i
c
i
ng
a
l
t
e
r
n
a
t
i
v
e
m
e
d
i
c
i
ne
we
r
e
e
x
c
l
ude
d.
3.
RE
S
UL
T
S
A
ND
AN
AL
YSI
S
A
t
ot
a
l
o
f
17
0
pa
r
t
i
c
i
pa
n
t
s
r
e
s
po
n
de
d
t
o
t
h
e
que
s
t
i
o
nna
i
r
e
.
T
hi
s
w
a
s
a
r
o
un
d
85%
o
f
t
h
e
t
a
r
ge
t
po
pul
a
t
i
o
n
to
wh
o
m
t
h
e
i
nvi
t
a
t
i
o
n
t
o
pa
r
t
i
c
i
pa
t
e
wa
s
s
e
n
t
.
M
a
j
o
r
i
t
y
o
f
t
h
e
pa
r
t
i
c
i
pa
n
t
s
(
47.
1%
)
we
r
e
a
ge
d
b
e
t
we
e
n
30
–
40
y
e
a
r
s
w
hi
l
e
qu
i
t
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f
e
w
we
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m
o
r
e
t
h
a
n
45
y
e
a
r
s
o
l
d
(
27.
06%
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a
s
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o
wn
i
n
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i
g
ur
e
1
.
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h
e
pe
r
c
e
n
t
a
ge
o
f
n
o
n
–
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a
ud
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pa
r
t
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c
i
pa
n
t
s
(
87.
6
%
)
wa
s
m
o
r
e
t
h
a
n
t
h
o
s
e
o
f
S
a
ud
i
o
r
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g
i
n
(
12.
4%
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a
s
s
h
o
wn
i
n
T
a
bl
e
1
.
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i
gur
e
1
.
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ge
d
i
s
t
r
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b
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n
o
f
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udy
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r
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pa
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t
s
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a
bl
e
1
.
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s
t
r
i
b
ut
i
o
n
o
f
T
h
e
P
a
r
t
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c
i
p
a
n
t
s
A
c
c
o
r
di
ng
t
o
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h
e
Na
t
i
o
n
a
li
t
y
F
r
e
qu
e
n
c
y
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e
r
c
e
nt
V
a
li
d
P
e
r
c
e
nt
V
a
li
d
S
a
udi
21
12.4
12.4
N
o
n
-
S
a
udi
149
87.6
87.6
T
ot
a
l
170
100.0
100.0
F
e
m
a
l
e
s
m
a
de
up
a
r
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un
d
28%
o
f
t
he
t
ot
a
l
po
pu
l
a
t
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n
a
s
s
h
o
w
n
i
n
F
i
g
ur
e
2
.
P
a
r
t
i
c
i
pa
n
t
s
f
r
o
m
Ki
ng
Kh
a
l
e
d
Ho
s
p
i
t
a
l
(
49.
4%
)
f
o
r
m
e
d
m
o
s
t
t
h
e
s
t
ud
y
po
pul
a
t
i
o
n
f
o
l
l
o
w
e
d
by
t
h
o
s
e
f
r
o
m
C
o
l
l
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ge
o
f
M
e
d
i
c
i
ne
,
M
a
j
m
a
a
h
(
28.
2%
)
c
a
n
b
e
s
e
e
n
i
n
T
a
bl
e
2
.
F
i
gur
e
2
.
Di
s
t
r
i
b
ut
i
o
n
o
f
S
t
udy
P
a
r
t
i
c
i
pa
n
t
s
A
c
c
o
r
d
i
n
g
T
o
Ge
n
de
r
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
S
N
:
2252
-
8806
I
J
P
HS
V
o
l
.
6
,
N
o
.
1
,
M
a
r
c
h
201
7
:
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–
20
16
T
a
bl
e
2
.
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s
t
r
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p
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c
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l
a
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e
Fr
e
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y
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li
d
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d
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o
s
pi
ta
l
84
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e
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c
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l
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ll
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ge
48
28.2
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D
e
nt
a
l
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o
s
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ta
l
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li
ni
c
s
31
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ot
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l
170
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100.0
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o
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h
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n
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n
g
th
e
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o
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l
m
e
d
i
a
(
89.
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)
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u
t
o
f
whi
c
h
75%
we
r
e
f
r
o
m
t
h
e
c
l
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n
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c
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l
s
p
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o
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t
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t
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ly
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t
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s
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o
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n
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bl
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bl
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3
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o
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pa
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l
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e
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Us
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ge
w
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pe
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l
t
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pe
c
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lt
y
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ot
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l
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r
e
c
li
ni
c
a
l
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r
a
c
li
ni
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a
l
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li
ni
c
a
l
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o
y
ou us
e
t
h
e
s
o
c
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l
me
di
a
(
t
w
it
t
e
r
,
F
B
e
t
c
.)
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e
s
(
%
)
22 (
14.5)
16 (
10.5)
114 (
75.0)
152 (
89.4)
N
o
(
%
)
1 (
5.6)
2 (
11.1)
15 (
83.3)
18 (
10.6)
T
ot
a
l
23 (
13.5)
18 (
10.6)
129 (
75.9)
170 (
100.0)
P
e
a
r
s
o
n
’
s
χ
2
=
1.
099,
p
=
0
.
577,
df
=
2
(
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o
t
s
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g
nif
i
c
a
n
t
)
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a
ny
o
f
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s
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h
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o
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d
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o
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l
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s
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.
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n
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h
e
r
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e
f
e
r
r
e
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to
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e
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t
m
o
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pe
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i
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ly
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ve
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y
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e
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(
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bl
e
4
.
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a
bl
e
4
.
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o
c
i
a
l
M
e
d
i
a
by
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h
e
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t
udy
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a
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i
c
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pa
n
t
s
F
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e
n
c
y
P
e
r
c
e
nt
V
a
li
d
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2252
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8806
Opinion
o
f
He
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hc
ar
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P
r
of
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s
s
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in
the
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age
of
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M
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dia
f
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P
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nt
.
.
.
.
(
Sy
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r
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A
hme
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17
As
f
a
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us
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ng
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c
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d
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No
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3.
1.
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26
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28
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.
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c
l
e
s
[
32
]
–
[
34
]
ha
v
e
a
l
s
o
r
i
g
h
t
l
y
po
i
n
t
e
d
o
u
t
to
t
hi
s
d
i
s
pa
r
i
t
y
a
n
d
c
i
t
e
d
i
t
a
s
a
hi
n
dr
a
n
c
e
to
t
h
e
i
m
pr
o
v
e
m
e
n
t
i
n
pa
t
i
e
n
t
c
a
r
e
s
e
r
vi
c
e
s
.
T
hi
s
s
t
udy
h
a
s
s
h
o
wn
t
h
a
t
t
h
e
r
e
ha
s
b
e
e
n
a
n
o
pt
i
mi
s
t
i
c
r
e
s
po
ns
e
(
50.
6%
)
f
r
o
m
t
h
e
h
e
a
l
t
h
c
a
r
e
pr
o
f
e
s
s
i
o
n
a
l
s
f
o
r
n
o
t
b
a
nni
ng
t
h
e
s
o
c
i
a
l
m
e
d
i
a
us
e
f
o
r
pa
t
i
e
n
t
c
a
r
e
.
M
u
l
-
t
i
p
l
e
a
r
t
i
c
l
e
s
[
35
]
–
[
38
]
h
a
ve
s
h
a
r
e
d
t
hi
s
vi
e
w
w
i
t
h
a
f
ut
ur
i
s
t
i
c
vi
s
i
o
n
o
f
a
wo
r
l
d
w
he
r
e
a
n
-
y
o
ne
a
ny
w
he
r
e
c
a
n
h
a
v
e
e
a
s
y
a
n
d
t
i
m
e
ly
a
c
c
e
s
s
t
o
t
h
e
b
e
s
t
phy
s
i
c
i
a
n
s
a
t
a
v
e
r
y
pe
r
s
o
n
a
l
l
e
v
e
l
f
o
r
t
h
e
i
r
t
r
e
a
t
m
e
n
t
a
n
d
c
a
r
e
.
4.
CONC
L
USI
ON
T
hi
s
s
t
udy
i
s
a
t
t
e
m
pt
s
t
o
pr
o
v
e
t
h
a
t
t
h
e
us
a
ge
o
f
s
o
c
i
a
l
m
e
d
i
a
i
n
ge
n
e
r
a
l
a
n
d
f
o
r
pa
-
t
i
e
n
t
c
a
r
e
by
t
h
e
h
e
a
l
t
h
c
a
r
e
pr
o
f
e
s
s
i
o
n
a
l
i
s
be
n
e
f
i
c
i
a
l
i
n
t
h
e
l
o
ng
r
un
.
T
h
e
s
ur
ve
y
do
n
e
i
n
t
hi
s
s
t
ud
y
pr
o
vi
de
s
a
m
p
l
e
i
n
f
o
r
m
a
t
i
o
n
r
e
ga
r
d
i
n
g
t
h
e
po
s
i
t
i
v
e
a
t
t
i
t
ude
o
f
t
h
e
s
t
udy
pa
r
t
i
c
i
p
a
n
t
s
.
M
or
e
o
v
e
r
,
t
h
e
r
e
i
s
a
n
e
x
pe
c
t
a
t
i
o
n
t
h
a
t
w
i
t
h
e
n
o
ugh
s
uppo
r
t
f
r
o
m
t
h
e
m
a
n
a
g
e
m
e
n
t
a
n
d
t
h
e
go
v
e
r
nm
e
n
t
t
h
e
u
s
e
o
f
s
o
c
i
a
l
m
e
d
i
a
w
i
ll
gr
e
a
t
l
y
be
n
e
f
i
t
t
h
e
pa
t
i
e
n
t
s
b
o
t
h
i
n
t
h
e
i
r
t
r
e
a
t
m
e
n
t
a
n
d
f
o
l
l
o
w
up.
I
n
f
a
c
t
,
m
o
s
t
o
f
t
h
e
pr
e
vi
o
u
s
s
t
ud
i
e
s
h
a
v
e
e
c
h
o
e
d
s
i
mi
l
a
r
o
u
t
c
o
m
e
s
i
n
t
e
r
m
s
o
f
pa
t
i
e
n
t
c
a
r
e
a
n
d
e
a
s
e
o
f
c
o
m
m
u
ni
c
a
-
t
i
o
n
w
i
t
h
t
h
e
i
r
c
l
i
n
i
c
i
a
ns
f
r
o
m
t
h
e
c
o
m
f
o
r
t
o
f
t
he
i
r
h
o
m
e
s
.
5.
RE
COM
M
E
ND
AT
I
ON
A
p
il
o
t
a
tt
e
m
pt
o
f
o
ur
pa
pe
r
to
e
s
t
a
bl
i
s
h
a
b
a
s
e
li
ne
s
t
ud
y
t
o
a
s
s
e
s
s
t
h
e
k
n
o
w
l
e
dge
,
a
tt
i
t
ude
a
n
d
pr
a
c
t
i
c
e
s
o
f
t
h
e
h
e
a
l
t
h
c
a
r
e
pr
o
f
e
s
s
i
o
n
a
l
s
f
r
o
m
d
if
f
e
r
e
n
t
f
i
e
l
d
o
f
e
x
p
e
r
-
t
i
s
e
h
a
v
e
s
h
o
wn
m
o
t
i
v
a
t
i
ng
r
e
s
u
l
t
s
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
S
N
:
2252
-
8806
I
J
P
HS
V
o
l
.
6
,
N
o
.
1
,
M
a
r
c
h
201
7
:
13
–
20
18
P
r
i
m
a
r
il
y
c
e
r
t
a
i
n
ga
ps
n
e
e
d
t
o
b
e
f
il
l
e
d
l
i
ke
i
n
-
c
r
e
a
s
i
ng
t
h
e
us
a
ge
o
f
s
o
c
i
a
l
m
e
d
i
a
f
o
r
pa
t
i
e
n
t
c
a
r
e
i
n
h
o
s
p
i
t
a
l
a
n
d
h
e
a
l
t
h
c
a
r
e
s
e
t
-
t
i
n
gs
.
R
e
gu
l
a
r
t
r
a
i
ni
ng
i
s
r
e
qu
i
r
e
d
f
o
r
t
h
e
h
e
a
l
t
h
c
a
r
e
pr
o
f
e
s
s
i
o
n
a
l
s
t
o
h
a
v
e
a
b
e
t
t
e
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gr
a
s
p
o
f
t
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us
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o
f
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o
c
i
a
l
m
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d
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a
f
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pa
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n
t
t
r
e
a
t
m
e
n
t
a
n
d
f
o
l
l
o
w
up.
A
he
a
l
t
h
e
duc
a
-
t
i
o
n
a
n
d
a
wa
r
e
n
e
s
s
c
a
mpa
i
g
n
b
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t
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e
c
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n
t
r
a
l
go
v
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r
nm
e
n
t
to
t
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ge
ne
r
a
l
po
pu
l
a
t
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o
n
a
n
d
t
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he
a
l
t
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c
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f
r
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ni
t
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t
o
t
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ke
t
h
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h
e
a
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t
hc
a
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t
l
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l
o
f
i
n
t
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r
v
e
n
t
i
o
n
.
6.
L
I
M
I
T
AT
I
ONS
T
hi
s
wa
s
a
s
e
lf
-
qu
e
s
t
i
o
nn
a
i
r
e
ba
s
e
d
s
t
ud
y
a
n
d
r
e
s
po
n
de
n
t
bi
a
s
c
a
nn
o
t
b
e
r
u
l
e
d
o
u
t
.
T
hi
s
c
o
u
l
d
im
pa
c
t
t
h
e
r
e
s
u
l
t
o
f
t
h
e
s
t
udy
i
n
s
o
m
e
w
a
y
t
h
o
ugh
a
tt
e
m
pt
s
we
r
e
m
a
de
t
o
e
x
p
l
a
i
n
to
t
h
e
pa
r
t
i
c
i
pa
n
t
s
o
n
h
o
w
to
a
ppr
o
a
c
h
a
ns
we
r
i
n
g
t
h
e
qu
e
s
t
i
o
n
-
na
i
r
e
.
F
ur
t
h
e
r
m
o
r
e
,
due
to
t
i
m
e
c
o
n
s
t
r
a
i
n
t
m
o
r
e
n
u
m
be
r
o
f
pa
r
t
i
c
i
pa
n
t
s
c
o
ul
d
n
o
t
b
e
i
nc
l
ude
d
i
n
t
h
e
s
t
udy
s
a
m
p
l
e
.
A
m
o
d
if
i
e
d
C
hi
s
qua
r
e
t
e
s
t
(
F
i
s
h
e
r
’
s
E
x
a
c
t
)
wa
s
us
e
d
f
o
r
a
n
a
ly
s
i
s
s
i
nc
e
t
h
e
s
a
m
p
l
e
s
i
z
e
wa
s
s
m
a
ll
e
r
a
n
d
t
hi
s
c
o
u
l
d
a
f
f
e
c
t
t
h
e
pr
o
j
e
c
t
i
o
n
o
f
t
h
e
s
t
ud
y
r
e
s
u
l
t
t
o
t
h
e
popu
l
a
t
i
o
n
.
S
i
n
c
e
t
hi
s
wa
s
a
n
a
tt
e
m
pt
to
e
s
t
a
bl
i
s
h
a
ba
s
e
li
ne
s
t
udy
i
n
M
a
jm
a
a
h
o
n
a
v
e
r
y
t
r
e
n
d
i
n
g
t
o
pi
c
wor
l
dw
i
de
,
e
f
f
o
r
t
s
s
h
o
ul
d
b
e
m
a
de
to
o
v
e
r
c
o
m
e
t
h
e
s
e
l
im
i
t
a
t
i
o
n
s
i
n
f
ut
ur
e
s
t
udi
e
s
.
AC
K
NOWL
E
DGE
M
E
NT
S
A
k
i
nd
a
ppr
e
c
i
a
t
i
o
n
to
t
h
e
De
pa
r
t
m
e
n
t
o
f
C
o
m
m
u
ni
t
y
M
e
d
i
c
i
ne
,
C
o
l
l
e
ge
o
f
M
e
d
i
c
i
ne
f
o
r
t
h
e
s
uc
c
e
s
s
f
u
l
c
o
n
duc
t
o
f
t
hi
s
s
t
ud
y
w
i
t
hi
n
t
h
e
g
i
v
e
n
t
i
m
e
f
r
a
m
e
.
RE
F
E
R
E
NC
E
S
[1
]
S
.
K
ah
n
J
.
,
“
T
h
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w
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:
h
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a
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c
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mee
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ci
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n
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.
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,
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u
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.
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1
]
L
em
a
n
H
.
,
“
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ci
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a
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n
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al
t
h
c
ar
e:
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o
mmu
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l
l
ab
o
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e
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u
r
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l
o
f
t
h
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M
ed
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2
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ar
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R
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3
]
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.
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.
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p
t
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et
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m
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p
p
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28,
30
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1
3
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4
]
B
o
o
k
Sec
t
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,
“
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c
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al
M
ed
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a
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n
Cl
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l
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t
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ce,
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s
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f
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ci
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M
e
d
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b
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o
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p
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Med
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a
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Prac
t
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ces
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ri
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d
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M
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n
,
p
p
.
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-
1
1
4
.
[1
5
]
T
i
m
i
mi
F
.
K.
,
“
Me
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c
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n
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,
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ral
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t
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are
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6
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ack
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a
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,
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n
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M
e
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l
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l
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a
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ca
d
em
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ea
l
t
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r
e
M
a
n
a
g
em
en
t
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u
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l
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l
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s
s
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:
7
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)
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p
.
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1
1
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[1
7
]
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L
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A
.
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me
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am
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n
Sa
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rab
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a
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t
J
M
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l
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h
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2
0
1
4
.
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8
]
M
.
H
o
u
s
eh
,
et
a
l
.
,
“
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m
p
o
w
eri
n
g
p
at
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e
n
t
s
t
h
ro
u
g
h
s
o
ci
a
l
me
d
i
a:
T
h
e
b
e
n
e
f
i
t
s
an
d
ch
al
l
e
n
g
es
,”
H
ea
l
t
h
In
f
o
r
m
a
t
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c
s
Jo
u
r
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vol
/
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s
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1
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p
p
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58
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4
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9
]
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G
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l
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at
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,”
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M
ed
In
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R
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,
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1
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Bro
w
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l
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“
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c
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l
Me
d
i
a:
A
N
at
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n
a
l
S
u
rv
ey
,”
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M
ed
In
t
er
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R
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v
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:
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2
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l
.
,
“
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me
d
i
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an
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al
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h
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,”
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er
m
J
.,
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:
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p
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3
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Ch
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C
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.
,
“
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d
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l
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p
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1
0
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
S
S
N:
2252
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8806
Opinion
o
f
He
alt
hc
ar
e
P
r
of
e
s
s
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s
in
the
Us
age
of
Soc
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M
e
dia
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or
P
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.
.
.
.
(
Sy
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r
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19
[2
4
]
Me
r
c
h
a
n
t
R
.
M
.
,
et
a
l
.
,
“
I
n
t
e
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rat
i
n
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c
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al
me
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a
i
n
t
o
eme
rg
en
cy
-
p
r
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p
a
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s
s
e
ff
o
rt
s
,”
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E
n
g
l
J
M
ed
,
v
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l
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s
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:
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5
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p
p
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8
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2
0
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1
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5
]
h
t
t
p
:
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c
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[2
6
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H
a
w
n
C
.
,
“
T
ak
e
t
w
o
as
p
i
ri
n
an
d
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w
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t
me
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n
t
h
e
mo
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n
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n
g
:
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o
w
T
w
i
t
t
e
r
,
Fa
ce
b
o
o
k
,
an
d
o
t
h
e
r
s
o
ci
al
med
i
a
are
re
s
h
ap
i
n
g
h
e
al
t
h
c
ar
e
,”
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ea
l
t
h
A
f
f
(M
i
l
l
w
o
o
d
)
,
v
o
l
/
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s
s
u
e:
28
,
p
p
.
3
6
1
–
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,
2
0
0
9
.
[2
7
]
D
.
M
c
Ca
u
g
h
ey
,
et
a
l
.
,
“
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s
t
Prac
t
i
ce
s
i
n
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l
M
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a
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t
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l
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a
V
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l
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e
Mat
ri
x
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o
A
s
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e
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s
So
c
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M
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d
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a’s
Im
p
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t
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n
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e
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l
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h
Car
e
,”
S
o
ci
a
l
S
c
i
en
ce
Co
m
p
u
t
er
R
evi
ew
,
v
o
l
/
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s
s
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e
:
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(
5
),
p
p
.
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89
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1
4
.
[2
8
]
W
.
K
i
m
an
d
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.
V
en
d
e
r
,
“
U
s
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o
f
Fa
ce
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r
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u
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M
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:
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,
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.
3
4
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.
[2
9
]
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.
v
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n
Mu
h
l
e
n
a
n
d
L
.
O
.
Mach
ad
o
,
“
Re
v
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ci
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me
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s
,
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0
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.
T
.
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s
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,
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.
,
“
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Pat
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e
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t
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at
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n
s
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i
p
a
n
d
O
n
l
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n
e
So
ci
al
N
e
t
w
o
r
k
s
:
R
e
s
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l
t
s
o
f
a
N
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i
o
n
a
l
S
u
rv
ey
,”
Jo
u
r
n
a
l
o
f
G
en
er
a
l
In
t
er
n
a
l
M
ed
i
c
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n
e
,
v
ol
/
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s
s
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e:
26
(
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)
,
p
p
.
1
1
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4
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2
0
1
1
.
[3
1
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h
t
t
p
:
/
/
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w
w
.
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c
b
i
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n
l
m
.
n
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.
g
o
v
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mc
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5
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.
[3
2
]
F
.
K
.
T
i
m
i
mi
,
“
Me
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c
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n
e
,
mo
ral
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n
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