Evaluación en línea de habilidades auditivas en la tercera edad: consideraciones iniciales
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Objetivo. Analizar los resultados del cribado en línea de AudBility en ancianos para evaluar su viabilidad. Metodología. El estudio incluyó a 40 ancianos (edad media de 67.4 años). Se sometieron a un cribado en línea de AudBility y completaron un cuestionario de autoevaluación y pruebas que evaluaban siete habilidades auditivas: localización del sonido (LS), tarea dicótica de dígitos, percepción del habla en ruido, cierre auditivo, prueba dicótica de palabras escalonadas (PDE), resolución temporal y ordenamiento temporal. El análisis de datos descriptivos consideró los parámetros de referencia de AudBility: <50% = anormal, 51-79% = precaución, >80% = normal. Resultados. La prueba con la mayor frecuencia de anomalías fu... Ver más
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FUNDACION UNIVERSITARIA MARIA CANO |
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Revista de Investigación e Innovación en Ciencias de la Salud |
title |
Evaluación en línea de habilidades auditivas en la tercera edad: consideraciones iniciales |
spellingShingle |
Evaluación en línea de habilidades auditivas en la tercera edad: consideraciones iniciales Englert, Marina Borges, Leticia Soares Almeida, Sandro Gielow, Ingrid Percepción auditiva asistencia a los ancianos anciano evaluación geriátrica audiología Auditory perception old age assistance aged geriatric assessment audiology |
title_short |
Evaluación en línea de habilidades auditivas en la tercera edad: consideraciones iniciales |
title_full |
Evaluación en línea de habilidades auditivas en la tercera edad: consideraciones iniciales |
title_fullStr |
Evaluación en línea de habilidades auditivas en la tercera edad: consideraciones iniciales |
title_full_unstemmed |
Evaluación en línea de habilidades auditivas en la tercera edad: consideraciones iniciales |
title_sort |
evaluación en línea de habilidades auditivas en la tercera edad: consideraciones iniciales |
description |
Objetivo. Analizar los resultados del cribado en línea de AudBility en ancianos para evaluar su viabilidad.
Metodología. El estudio incluyó a 40 ancianos (edad media de 67.4 años). Se sometieron a un cribado en línea de AudBility y completaron un cuestionario de autoevaluación y pruebas que evaluaban siete habilidades auditivas: localización del sonido (LS), tarea dicótica de dígitos, percepción del habla en ruido, cierre auditivo, prueba dicótica de palabras escalonadas (PDE), resolución temporal y ordenamiento temporal. El análisis de datos descriptivos consideró los parámetros de referencia de AudBility: <50% = anormal, 51-79% = precaución, >80% = normal.
Resultados. La prueba con la mayor frecuencia de anomalías fue LS y ordenamiento temporal frecuencia (OTF), ambas con un 22.5%. En promedio, estas pruebas se consideraron como "precaución" (LS = 72.75%; OTF = 67.5%). El cuestionario de autoevaluación tuvo la mayor frecuencia de resultados de "precaución" (52.5%), seguido por PDE (35%) y OTF (32.5%). En promedio, el cuestionario de autoevaluación y OTF mostraron valores de precaución (74.41% y 67.5%, respectivamente). PDE tuvo valores promedio normales (81.5%). Ninguna prueba tuvo valores promedio anormales.
Conclusión. Utilizar AudBility para el cribado auditivo puede servir como punto de partida para evaluar la salud auditiva y cognitiva en la población anciana, orientando derivaciones y terapias antes de las intervenciones presenciales.
|
description_eng |
Objective. To analyze the results of AudBility's online screening in the elderly to assess its viability.
Methodology. The study included 40 elderly participants (mean age 67.4 years). They underwent online AudBility screening and completed a self-assessment questionnaire along with tests assessing seven auditory skills: sound localization (SL), dichotic digits task, speech perception in noise, auditory closure, staggered dichotic words test (SDW), temporal resolution, and temporal ordering. Descriptive data analysis considered AudBility's reference parameters: <50% = abnormal, 51-79% caution, >80% = normal.
Results. The tests with the highest frequency of abnormalities were SL and temporal ordering frequency (TOF), both with 22.5%. On average, these tests were considered as "caution" (SL = 72.75%; TOF = 67.5%). The self-assessment questionnaire had the highest frequency of "caution" results (52.5%), followed by SDW (35%) and TOF (32.5%). On average, the self-assessment questionnaire and TOF showed caution values (74.41% and 67.5%, respectively). SDW had normal average values (81.5%). No test showed abnormal average values.
Conclusion. Auditory screening using AudBility can serve as an entry point for assessing auditory and cognitive health in the elderly population, guiding referrals and therapies before in-person interventions.
|
author |
Englert, Marina Borges, Leticia Soares Almeida, Sandro Gielow, Ingrid |
author_facet |
Englert, Marina Borges, Leticia Soares Almeida, Sandro Gielow, Ingrid |
topicspa_str_mv |
Percepción auditiva asistencia a los ancianos anciano evaluación geriátrica audiología |
topic |
Percepción auditiva asistencia a los ancianos anciano evaluación geriátrica audiología Auditory perception old age assistance aged geriatric assessment audiology |
topic_facet |
Percepción auditiva asistencia a los ancianos anciano evaluación geriátrica audiología Auditory perception old age assistance aged geriatric assessment audiology |
citationedition |
: Press articles |
publisher |
Fundación Universitaria María Cano |
ispartofjournal |
Revista de Investigación e Innovación en Ciencias de la Salud |
source |
https://riics.info/index.php/RCMC/article/view/311 |
language |
eng |
format |
Article |
rights |
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es Revista de Investigación e Innovación en Ciencias de la Salud - 2024 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
references_eng |
[Brazilian Institute of Geography and Statistics] Instituto Brasileiro de Geografia e Estatística, br-pt (IBGE) [Internet]. Population projection [cited 2024/feb/2]. Available from: https://www.ibge.gov.br/en/statistics/social/population/18176-population-projection.html 2. World Health Organization [Internet]. Geneva: WHO; 2024. Deafness and hearing loss; 2024 Feb 2 [cited 2024/Feb/2]: [about 6 screens]. Available from: https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss 3. Lin FR, Metter EJ, O'Brien RJ, Resnick SM, Zonderman AB, Ferrucci L. Hearing loss and incident dementia. Arch Neurol [Internet]. 2011;68(2):214-20. doi: https://doi.org/10.1001/archneurol.2010.362 4. American Speech-Language-Hearing Association (ASHA) [Internet]. Rockville: ASHA; n.d. Central Auditory Processing Disorder [cited 2024/feb/2]: [about 30 screens]. Available from: https://www.asha.org/practice-portal/clinical-topics/central-auditory-processing-disorder/ 5. Chermak G, Musiek F. Central auditory processing disorder: new perspectives. San Diego: Singular Pub. Group; 1997. 374 p. 6. Ferguson M, Nakano K, Jayakody DM. Clinical Assessment Tools for the Detection of Cognitive Impairment and Hearing Loss in the Ageing Population. Clin Interv Aging [Internet]. 2023 Dec 7;2023:2041-51. doi: https://doi.org/10.2147/CIA.S409114 7. Strouse AL, Hall JW, Burger MC. Central auditory processing in Alzheimer's disease. Ear Hear [Internet]. 1995;16(2):230-8. doi: https://doi.org/10.1097/00003446-199504000-00010 8. Liu CM, Lee CT. Association of Hearing Loss With Dementia. JAMA Netw Open [Internet]. 2019;2(7):e198112. doi: https://doi.org/10.1001/jamanetworkopen.2019.8112 9. Sardone R, Battista P, Donghia R, Lozupone M, Tortelli R, Guerra V, et al. Age-related central auditory processing disorder, MCI, and dementia in an older population of Southern Italy. Otolaryngol Head Neck Surg [Internet]. 2020 Aug;163(2):348-55. doi: https://doi.org/10.1177/0194599820913635 10. Johnson JCS, Marshall CR, Weil RS, Bamiou DE, Hardy CJD, Warren JD. Hearing and dementia: from ears to brain. Brain [Internet]. 2021;144(2):391-401. doi: https://doi.org/10.1093/brain/awaa429 11. Lau K, Dimitriadis PA, Mitchell C, Martyn-St-James M, Hind D, Ray J.Age-related hearing loss and mild cognitive impairment: a meta-analysis and systematic review of population-based studies. J Laryngol Otol [Internet]. 2022;136(2):103-18. doi: https://doi.org/10.1017/S0022215121004114 12. Davidson A, Souza P. Relationships between auditory processing and cognitive abilities in adults: a systematic review. J Speech Lang Hear Res [Internet]. 2024;67(1):296-345. doi: https://doi.org/10.1044/2023_JSLHR-22-00716 13. Amaral MIRD, Carvalho NG, Colella-Santos MF. Computer-based central auditory processing screening for school-age children (audBility): an initial investigation. Codas [Internet]. 2019;31(2):1-11. doi: https://doi.org/10.1590/2317-1782/20182018157 14. Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr [Internet]. 1982;36(5):936-42. doi: https://doi.org/10.1093/ajcn/36.5.936 15. Donadon C, Sanfins MD, Borges LR, Colella-Santos MF. Auditory training: effects on auditory abilities in children with history of otitis media. Int J Pediatr Otorhinolaryngol [Internet]. 2019;118:177-80. doi: https://doi.org/10.1016/j.ijporl.2019.01.002 16. Nunes CL, Pereira LD, Carvalho GS. Scale of Auditory Behaviors and auditory behavior tests for auditory processing assessment in Portuguese children. Codas [Internet]. 2013;25(3):209-15. doi: https://doi.org/10.1590/s2317-17822013000300004 17. Peek S, Wouters E, Hoof J, Luijkx KG, Boeije H, Vrijhoef H. Factors influencing acceptance of technology for aging in place: a systematic review. Int J Med Inform [Internet]. 2014;83(4):235-48. doi: https://doi.org/10.1016/j.ijmedinf.2014.01.004 18. Mukari S, Hashim W. Self-perceived hearing loss, hearing-help seeking and hearing aid adoption among older adults in Malaysia. Ann Otol Rhinol Laryngol [Internet]. 2018;127(11):798-805. doi: https://doi.org/10.1177/0003489418795982 19. Filippini R, Brito NFS, Neves-Lobo I, Schochat E. Manutenção das habilidades auditivas pós treinamento auditivo. Audiol Commun Res [Internet]. 2014;19(2)112-6. doi: https://doi.org/10.1590/S2317-64312014000200003 20. Maidment D, Baker AB, Xia J, Ferguson MA. A systematic review and meta-analysis assessing the effectiveness of alternative listening devices to conventional hearing aids in adults with hearing loss. Int J Audiol [Internet]. 2018;57(10):721-9. doi: https://doi.org/10.1080/14992027.2018.1493546 21. Flamme GA. Localization, hearing impairment and hearing aids. The hearing journal [Internet]. 2002;55(6):10-20. doi: https://doi.org/10.1097/01.HJ.0000293272.79202.86 22. Noble W, Byrne D, Lepage B. Effects on sound localization of configuration and type of hearing impairment. J Acoust Soc Am [Internet]. 1994;95(2):992-1005. doi: https://doi.org/10.1121/1.408404 23. Delecrode CR, Cardoso ACV, Frizzo ACF, Guida HL. Pitch pattern sequence and duration pattern tests in Brazil: literature review. Rev CEFAC [Internet]. 2014;16(1):283-93. doi: https://doi.org/10.1590/1982-021620143912 24. Rasmus A, Błachnio A. Auditory processing disorders in elderly persons vs. linguistic and emotional prosody. Int J Environ Res Public Health [Internet]. 2021;18(12):1-10. doi: https://doi.org/10.3390/ijerph18126427 25. Samara M, Thai-Van H, Ptok M, Glarou E, Veuillet E, Miller S, et al. A systematic review and meta-analysis of questionnaires used for auditory processing screening and evaluation. Front Neurol [Internet]. 2023;14:1243170. doi: https://doi.org/10.3389/fneur.2023.1243170 26. Kovalová M, Mrázková E, Škerková M, Čada Z, Janoutová J. The importance of screening for hearing loss in the elderly. Otolaryngol Pol [Internet]. 2022;76(3):32-8. doi: https://doi.org/10.5604/01.3001.0015.6493 27. Lin FR, Pike JR, Albert MS, Arnold M, Burgard S, Chisolm T, et al. Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomized controlled trial. Lancet [Internet]. 2023;402(10404):786-97. doi: https://doi.org/10.1016/S0140-6736(23)01406-X 28. Zanchetta S, Simões HO, Lunardelo PP, Canavezi MO, Reis ACMB, Massuda ET. Cross-cultural adaptation of the Amsterdam inventory for auditory disability and handicap to Brazilian Portuguese. Braz J Otorhinolaryngol [Internet]. 2020;86(1):3-13. doi: https://doi.org/10.1016/j.bjorl.2018.07.011 |
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Evaluación en línea de habilidades auditivas en la tercera edad: consideraciones iniciales Evaluación en línea de habilidades auditivas en la tercera edad: consideraciones iniciales Objetivo. Analizar los resultados del cribado en línea de AudBility en ancianos para evaluar su viabilidad. Metodología. El estudio incluyó a 40 ancianos (edad media de 67.4 años). Se sometieron a un cribado en línea de AudBility y completaron un cuestionario de autoevaluación y pruebas que evaluaban siete habilidades auditivas: localización del sonido (LS), tarea dicótica de dígitos, percepción del habla en ruido, cierre auditivo, prueba dicótica de palabras escalonadas (PDE), resolución temporal y ordenamiento temporal. El análisis de datos descriptivos consideró los parámetros de referencia de AudBility: <50% = anormal, 51-79% = precaución, >80% = normal. Resultados. La prueba con la mayor frecuencia de anomalías fue LS y ordenamiento temporal frecuencia (OTF), ambas con un 22.5%. En promedio, estas pruebas se consideraron como "precaución" (LS = 72.75%; OTF = 67.5%). El cuestionario de autoevaluación tuvo la mayor frecuencia de resultados de "precaución" (52.5%), seguido por PDE (35%) y OTF (32.5%). En promedio, el cuestionario de autoevaluación y OTF mostraron valores de precaución (74.41% y 67.5%, respectivamente). PDE tuvo valores promedio normales (81.5%). Ninguna prueba tuvo valores promedio anormales. Conclusión. Utilizar AudBility para el cribado auditivo puede servir como punto de partida para evaluar la salud auditiva y cognitiva en la población anciana, orientando derivaciones y terapias antes de las intervenciones presenciales. Objective. To analyze the results of AudBility's online screening in the elderly to assess its viability. Methodology. The study included 40 elderly participants (mean age 67.4 years). They underwent online AudBility screening and completed a self-assessment questionnaire along with tests assessing seven auditory skills: sound localization (SL), dichotic digits task, speech perception in noise, auditory closure, staggered dichotic words test (SDW), temporal resolution, and temporal ordering. Descriptive data analysis considered AudBility's reference parameters: <50% = abnormal, 51-79% caution, >80% = normal. Results. The tests with the highest frequency of abnormalities were SL and temporal ordering frequency (TOF), both with 22.5%. On average, these tests were considered as "caution" (SL = 72.75%; TOF = 67.5%). The self-assessment questionnaire had the highest frequency of "caution" results (52.5%), followed by SDW (35%) and TOF (32.5%). On average, the self-assessment questionnaire and TOF showed caution values (74.41% and 67.5%, respectively). SDW had normal average values (81.5%). No test showed abnormal average values. Conclusion. Auditory screening using AudBility can serve as an entry point for assessing auditory and cognitive health in the elderly population, guiding referrals and therapies before in-person interventions. Englert, Marina Borges, Leticia Soares Almeida, Sandro Gielow, Ingrid Percepción auditiva asistencia a los ancianos anciano evaluación geriátrica audiología Auditory perception old age assistance aged geriatric assessment audiology : Press articles Artículo de revista Journal article 2023-08-09T15:37:24Z 2023-08-09T15:37:24Z 2023-08-09 text/html text/xml Fundación Universitaria María Cano Revista de Investigación e Innovación en Ciencias de la Salud 2665-2056 https://riics.info/index.php/RCMC/article/view/311 10.46634/riics.311 https://doi.org/10.46634/riics.311 eng https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es Revista de Investigación e Innovación en Ciencias de la Salud - 2024 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. press press [Brazilian Institute of Geography and Statistics] Instituto Brasileiro de Geografia e Estatística, br-pt (IBGE) [Internet]. Population projection [cited 2024/feb/2]. Available from: https://www.ibge.gov.br/en/statistics/social/population/18176-population-projection.html 2. World Health Organization [Internet]. Geneva: WHO; 2024. Deafness and hearing loss; 2024 Feb 2 [cited 2024/Feb/2]: [about 6 screens]. Available from: https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss 3. Lin FR, Metter EJ, O'Brien RJ, Resnick SM, Zonderman AB, Ferrucci L. Hearing loss and incident dementia. Arch Neurol [Internet]. 2011;68(2):214-20. doi: https://doi.org/10.1001/archneurol.2010.362 4. American Speech-Language-Hearing Association (ASHA) [Internet]. Rockville: ASHA; n.d. Central Auditory Processing Disorder [cited 2024/feb/2]: [about 30 screens]. Available from: https://www.asha.org/practice-portal/clinical-topics/central-auditory-processing-disorder/ 5. Chermak G, Musiek F. Central auditory processing disorder: new perspectives. San Diego: Singular Pub. Group; 1997. 374 p. 6. Ferguson M, Nakano K, Jayakody DM. Clinical Assessment Tools for the Detection of Cognitive Impairment and Hearing Loss in the Ageing Population. Clin Interv Aging [Internet]. 2023 Dec 7;2023:2041-51. doi: https://doi.org/10.2147/CIA.S409114 7. Strouse AL, Hall JW, Burger MC. Central auditory processing in Alzheimer's disease. Ear Hear [Internet]. 1995;16(2):230-8. doi: https://doi.org/10.1097/00003446-199504000-00010 8. Liu CM, Lee CT. Association of Hearing Loss With Dementia. JAMA Netw Open [Internet]. 2019;2(7):e198112. doi: https://doi.org/10.1001/jamanetworkopen.2019.8112 9. Sardone R, Battista P, Donghia R, Lozupone M, Tortelli R, Guerra V, et al. Age-related central auditory processing disorder, MCI, and dementia in an older population of Southern Italy. Otolaryngol Head Neck Surg [Internet]. 2020 Aug;163(2):348-55. doi: https://doi.org/10.1177/0194599820913635 10. Johnson JCS, Marshall CR, Weil RS, Bamiou DE, Hardy CJD, Warren JD. Hearing and dementia: from ears to brain. Brain [Internet]. 2021;144(2):391-401. doi: https://doi.org/10.1093/brain/awaa429 11. Lau K, Dimitriadis PA, Mitchell C, Martyn-St-James M, Hind D, Ray J.Age-related hearing loss and mild cognitive impairment: a meta-analysis and systematic review of population-based studies. J Laryngol Otol [Internet]. 2022;136(2):103-18. doi: https://doi.org/10.1017/S0022215121004114 12. Davidson A, Souza P. Relationships between auditory processing and cognitive abilities in adults: a systematic review. J Speech Lang Hear Res [Internet]. 2024;67(1):296-345. doi: https://doi.org/10.1044/2023_JSLHR-22-00716 13. Amaral MIRD, Carvalho NG, Colella-Santos MF. Computer-based central auditory processing screening for school-age children (audBility): an initial investigation. Codas [Internet]. 2019;31(2):1-11. doi: https://doi.org/10.1590/2317-1782/20182018157 14. Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr [Internet]. 1982;36(5):936-42. doi: https://doi.org/10.1093/ajcn/36.5.936 15. Donadon C, Sanfins MD, Borges LR, Colella-Santos MF. Auditory training: effects on auditory abilities in children with history of otitis media. Int J Pediatr Otorhinolaryngol [Internet]. 2019;118:177-80. doi: https://doi.org/10.1016/j.ijporl.2019.01.002 16. Nunes CL, Pereira LD, Carvalho GS. Scale of Auditory Behaviors and auditory behavior tests for auditory processing assessment in Portuguese children. Codas [Internet]. 2013;25(3):209-15. doi: https://doi.org/10.1590/s2317-17822013000300004 17. Peek S, Wouters E, Hoof J, Luijkx KG, Boeije H, Vrijhoef H. Factors influencing acceptance of technology for aging in place: a systematic review. Int J Med Inform [Internet]. 2014;83(4):235-48. doi: https://doi.org/10.1016/j.ijmedinf.2014.01.004 18. Mukari S, Hashim W. Self-perceived hearing loss, hearing-help seeking and hearing aid adoption among older adults in Malaysia. Ann Otol Rhinol Laryngol [Internet]. 2018;127(11):798-805. doi: https://doi.org/10.1177/0003489418795982 19. Filippini R, Brito NFS, Neves-Lobo I, Schochat E. Manutenção das habilidades auditivas pós treinamento auditivo. Audiol Commun Res [Internet]. 2014;19(2)112-6. doi: https://doi.org/10.1590/S2317-64312014000200003 20. Maidment D, Baker AB, Xia J, Ferguson MA. A systematic review and meta-analysis assessing the effectiveness of alternative listening devices to conventional hearing aids in adults with hearing loss. Int J Audiol [Internet]. 2018;57(10):721-9. doi: https://doi.org/10.1080/14992027.2018.1493546 21. Flamme GA. Localization, hearing impairment and hearing aids. The hearing journal [Internet]. 2002;55(6):10-20. doi: https://doi.org/10.1097/01.HJ.0000293272.79202.86 22. Noble W, Byrne D, Lepage B. Effects on sound localization of configuration and type of hearing impairment. J Acoust Soc Am [Internet]. 1994;95(2):992-1005. doi: https://doi.org/10.1121/1.408404 23. Delecrode CR, Cardoso ACV, Frizzo ACF, Guida HL. Pitch pattern sequence and duration pattern tests in Brazil: literature review. Rev CEFAC [Internet]. 2014;16(1):283-93. doi: https://doi.org/10.1590/1982-021620143912 24. Rasmus A, Błachnio A. Auditory processing disorders in elderly persons vs. linguistic and emotional prosody. Int J Environ Res Public Health [Internet]. 2021;18(12):1-10. doi: https://doi.org/10.3390/ijerph18126427 25. Samara M, Thai-Van H, Ptok M, Glarou E, Veuillet E, Miller S, et al. A systematic review and meta-analysis of questionnaires used for auditory processing screening and evaluation. Front Neurol [Internet]. 2023;14:1243170. doi: https://doi.org/10.3389/fneur.2023.1243170 26. Kovalová M, Mrázková E, Škerková M, Čada Z, Janoutová J. The importance of screening for hearing loss in the elderly. Otolaryngol Pol [Internet]. 2022;76(3):32-8. doi: https://doi.org/10.5604/01.3001.0015.6493 27. Lin FR, Pike JR, Albert MS, Arnold M, Burgard S, Chisolm T, et al. Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomized controlled trial. Lancet [Internet]. 2023;402(10404):786-97. doi: https://doi.org/10.1016/S0140-6736(23)01406-X 28. Zanchetta S, Simões HO, Lunardelo PP, Canavezi MO, Reis ACMB, Massuda ET. Cross-cultural adaptation of the Amsterdam inventory for auditory disability and handicap to Brazilian Portuguese. Braz J Otorhinolaryngol [Internet]. 2020;86(1):3-13. doi: https://doi.org/10.1016/j.bjorl.2018.07.011 https://riics.info/index.php/RCMC/article/download/311/1027 https://riics.info/index.php/RCMC/article/download/311/1028 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_2df8fbb1 http://purl.org/redcol/resource_type/ART info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication |