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1.
J Neurosci ; 43(40): 6779-6795, 2023 10 04.
Artigo em Inglês | MEDLINE | ID: mdl-37607822

RESUMO

Communication difficulties are one of the core criteria in diagnosing autism spectrum disorder (ASD), and are often characterized by speech reception difficulties, whose biological underpinnings are not yet identified. This deficit could denote atypical neuronal ensemble activity, as reflected by neural oscillations. Atypical cross-frequency oscillation coupling, in particular, could disrupt the joint tracking and prediction of dynamic acoustic stimuli, a dual process that is essential for speech comprehension. Whether such oscillatory anomalies already exist in very young children with ASD, and with what specificity they relate to individual language reception capacity is unknown. We collected neural activity data using electroencephalography (EEG) in 64 very young children with and without ASD (mean age 3; 17 females, 47 males) while they were exposed to naturalistic-continuous speech. EEG power of frequency bands typically associated with phrase-level chunking (δ, 1-3 Hz), phonemic encoding (low-γ, 25-35 Hz), and top-down control (ß, 12-20 Hz) were markedly reduced in ASD relative to typically developing (TD) children. Speech neural tracking by δ and θ (4-8 Hz) oscillations was also weaker in ASD compared with TD children. After controlling gaze-pattern differences, we found that the classical θ/γ coupling was replaced by an atypical ß/γ coupling in children with ASD. This anomaly was the single most specific predictor of individual speech reception difficulties in ASD children. These findings suggest that early interventions (e.g., neurostimulation) targeting the disruption of ß/γ coupling and the upregulation of θ/γ coupling could improve speech processing coordination in young children with ASD and help them engage in oral interactions.SIGNIFICANCE STATEMENT Very young children already present marked alterations of neural oscillatory activity in response to natural speech at the time of autism spectrum disorder (ASD) diagnosis. Hierarchical processing of phonemic-range and syllabic-range information (θ/γ coupling) is disrupted in ASD children. Abnormal bottom-up (low-γ) and top-down (low-ß) coordination specifically predicts speech reception deficits in very young ASD children, and no other cognitive deficit.


Assuntos
Transtorno do Espectro Autista , Transtorno Autístico , Masculino , Feminino , Humanos , Criança , Pré-Escolar , Fala/fisiologia , Transtorno do Espectro Autista/diagnóstico , Eletroencefalografia , Estimulação Acústica
2.
Stud Health Technol Inform ; 302: 212-216, 2023 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-37203649

RESUMO

Patients need mechanisms to integrate health information coming from different sources, including personal devices. This would lead to Personalized Digital Health (PDH). HIPAMS (Health Information Protection And Management System) is a modular and interoperable secure architecture that helps in achieving this objective and building a Framework for PDH. The paper presents HIPAMS and how it supports PDH.


Assuntos
Segurança Computacional , Privacidade , Humanos
3.
Stud Health Technol Inform ; 302: 337-341, 2023 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-37203674

RESUMO

The MedSecurance project focus on identifying new challenges in cyber security with focus on hardware and software medical devices in the context of emerging healthcare architectures. In addition, the project will review best practice and identify gaps in the guidance, particularly the guidance stipulated by the medical device regulation and directives. Finally, the project will develop comprehensive methodology and tooling for the engineering of trustworthy networks of inter-operating medical devices, that shall have security-for-safety by design, with a strategy for device certification and certifiable dynamic network composition, ensuring that patient safety is safeguarded from malicious cyber actors and technology "accidents".


Assuntos
Certificação , Segurança Computacional , Humanos , Engenharia , Instalações de Saúde , Legislação de Dispositivos Médicos
4.
Inorg Chem ; 62(9): 3738-3760, 2023 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-36808900

RESUMO

A new methodology based on an adaptive grid algorithm followed by an analysis of the ground state from the fit parameters is presented to analyze and interpret experimental XAS L2,3-edge data. The fitting method is tested first in a series of multiplet calculations for d0-d7 systems and for which the solution is known. In most cases, the algorithm is able to find the solution, except for a mixed-spin Co2+ Oh complex, where it instead revealed a correlation between the crystal field and the electron repulsion parameters near spin-crossover transition points. Furthermore, the results for the fitting of previously published experimental data sets on CaO, CaF2, MnO, LiMnO2, and Mn2O3 are presented and their solution discussed. The presented methodology has allowed the evaluation of the Jahn-Teller distortion in LiMnO2, which is consistent with the observed implications in the development of batteries, which use this material. Moreover, a follow-up analysis of the ground state in Mn2O3 has demonstrated an unusual ground state for the highly distorted site which would be impossible to optimize in a perfect octahedral environment. Ultimately, the presented methodology can be used in the analysis of X-ray absorption spectroscopy data measured at the L2,3-edge for a large number of materials and molecular complexes of first-row transition metals and can be expanded to the analysis of other X-ray spectroscopic data in future studies.

5.
Methods Inf Med ; 61(S 02): e172-e182, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36495250

RESUMO

BACKGROUND: Privacy management is a key issue when dealing with storage and distribution of health information. However, FAIR (Findability, Accessibility, Interoperability, and Reusability) principles when sharing information are in increasing demand in several organizations, especially for information generated in public-funded research projects. OBJECTIVES: The two main objectives of the presented work are the definition of a secure and interoperable modular architecture to manage different kinds of medical content (xIPAMS [x, for Any kind of content, Information Protection And Management System] and HIPAMS [Health Information Protection And Management System]), and the application of FAIR principles to that architecture in such a way that privacy and security are compatible with FAIR. METHODS: We propose the concept of xIPAMS as a modular architecture, following standards for interoperability, which defines mechanisms for privacy, protection, storage, search, and access to health-related information. RESULTS: xIPAMS provides FAIR principles and preserves patient's privacy. For each module, we identify how FAIR principles apply. CONCLUSIONS: We have analyzed how xIPAMS, and in particular HIPAMS (Health content), support the FAIR principles focusing on security and privacy. We have identified the FAIR principles supported by the different xIPAMS modules, concluding that the four principles are supported. Our analysis has also considered a possible implementation based on the concept of DACS (Document Access and Communication System), a system storing medical documents in a private and secure way. In addition, we have analyzed security aspects of the FAIRification process and how they are provided by xIPAMS modules.


Assuntos
Segurança Computacional , Privacidade , Humanos
6.
Rev Saude Publica ; 56: 96, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36515308

RESUMO

OBJECTIVE: To expose visibility of the health concerns of sexual and gender minority groups in Chile, as well as to provide a platform to advocate for policies that support the health and well-being of sexual and gender minority people in the country. METHODS: The health conditions and risk factors of participants identified as sexual and gender minority were compared to those identified as cisgender heterosexual using data from the 2016-2017 National Health Survey. RESULTS: Despite reporting higher self-rated health than heterosexual men, gay men had a higher risk of lifetime diagnosis of sexually transmitted infections. Compared to heterosexual women, the prevalence of depression was higher among bisexual women, who were also less likely to have been tested for HIV. Moreover, transgender participants were more likely to report depression and worse self-rated health than cisgender heterosexual participants. CONCLUSION: Small sample sizes of sexual and gender minority subgroups might have obscured some differences that would have been observable in larger samples. Despite this, we found statistically significant sexual and/or gender identity differences in several health areas, especially mental, sexual, and overall health.


Assuntos
Identidade de Gênero , Minorias Sexuais e de Gênero , Feminino , Humanos , Masculino , Chile/epidemiologia , Brasil , Inquéritos Epidemiológicos
7.
Stud Health Technol Inform ; 299: 171-176, 2022 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-36325859

RESUMO

Medical data describe patient health information, both in healthy and disease conditions. In any case, health institutions need to ask for patient consent in order to provide their services. Patients usually give consent on a one-time basis, for a specific usage. Afterwards, if medical data usage is research, original patient consent does not apply and further consents should be required. On the other hand, provenance of medical data to verify the origin of health procedures is desirable, as digital health is increasing. We propose HIPAMS modular architecture to provide both provenance and dynamic consents for medical data as described in this paper.


Assuntos
Consentimento Livre e Esclarecido , Humanos
8.
J Pers Med ; 12(6)2022 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-35743700

RESUMO

Genomic information is a very sensitive type of digital information as it not only applies to a person, but also to close relatives. Therefore, privacy provision is key to protecting genomic information from unauthorized access. It is worth noting that most of the current genomic information formats do not provide specific mechanisms by which to secure the stored information. In order to solve, among other things, the privacy provision issue, we proposed the GIPAMS (Genomic Information Protection And Management System) modular architecture, which is based on the use of standards such as ISO/IEC 23092 and a few GA4GH (Global Alliance for Genomics and Health) initiatives. Some of the GIPAMS modules have already been implemented, mainly based on ISO/IEC 23092 features, and we are conducting work on the complete version of the architecture, and other standards are also considered. One of the objectives of GIPAMS is to enable the management of different formats of genomic information in a unique and interoperable way, providing privacy and security for formats that do not currently support them.

10.
Aesthethika (Ciudad Autón. B. Aires) ; 18(1): 29-41, abr, 2022.
Artigo em Espanhol | LILACS | ID: biblio-1452271

RESUMO

El concepto de homofobia ha sido relevante para el estudio de las minorías sexuales y ha tenido un impacto positivo en el desarrollo de teorías académicas y efectos en la visibilidad de la homosexualidad. A pesar de esto, su reduccionismo al campo exclusivo de la homosexualidad masculina y la sobregeneralización de su uso significa la reproducción de asimetrías de poder que invisibilizan a otros sub-grupos de las minorías sexo-genéricas. Entre estos otros grupos están lesbianas, trans, queer, intersex, así como también, invisibiliza factores interseccionales como raza, etnia, género, clase. Es por esto, que este artículo tiene como intención realizar un análisis crítico del surgimiento del concepto de homofobia, sus implicancias y aportes para el campo de la psicología y las ciencias sociales en general


The concept of homophobia has been relevant to the study of sexual minorities and has had a positive impact on theory development academic, as well as effects on the visibility of the homosexuality. Despite this, his reductionism to the exclusive field of homosexuality masculine and the overgeneralization of its use means the reproduction of power asymmetries that make other minority sub-groups invisible sex-generic. Among these other groups are lesbian, trans, queer, intersex, as well as intersectional factors, such as race, ethnicity, gender, class. This is why this article intends to carry out a critical analysis of the emergence of the concept of homophobia, its implications and contributions for the field of psychology and the social sciences in general


Assuntos
Humanos , Masculino , Feminino , Homofobia , Comportamento Social , Homossexualidade , Sexismo
11.
Food Chem ; 379: 132145, 2022 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-35066356

RESUMO

The lipoproteins that remain after the extraction of phosvitin from the egg yolk granular fraction possess low industrial applicability. In this study, these lipoproteins were hydrolysed using trypsin, and the bioactivity of the resulting peptides was assessed by in silico analysis. In addition, in order to isolate the most valuable previously detected peptides, their transmission through a polyethersulfone (PES) membrane and a stabilised cellulose (SC) based membrane was also evaluated at several pHs. A pH of 4.0 gave the highest observed transmission of peptides through both membranes for every peptide identified in the permeate streams. Regarding the PES membrane, six peptide sequences detected in the permeate were predicted to be antihypertensive, although only one of them showed a bioactivity score higher than 0.5 according to Peptide Ranker. When the SC membrane was assessed, five peptides with a bioactivity score higher than 0.5 were detected in the permeate streams and eight peptides were predicted as antihypertensive. The in silico analysis performed showed that K.VQWGIIPSWIK.K was the most promising antihypertensive peptide found in the permeates.


Assuntos
Gema de Ovo , Ultrafiltração , Proteínas do Ovo , Peptídeos
12.
Artigo em Inglês | LILACS | ID: biblio-1410047

RESUMO

ABSTRACT OBJECTIVE To expose visibility of the health concerns of sexual and gender minority groups in Chile, as well as to provide a platform to advocate for policies that support the health and well-being of sexual and gender minority people in the country. METHODS The health conditions and risk factors of participants identified as sexual and gender minority were compared to those identified as cisgender heterosexual using data from the 2016-2017 National Health Survey. RESULTS Despite reporting higher self-rated health than heterosexual men, gay men had a higher risk of lifetime diagnosis of sexually transmitted infections. Compared to heterosexual women, the prevalence of depression was higher among bisexual women, who were also less likely to have been tested for HIV. Moreover, transgender participants were more likely to report depression and worse self-rated health than cisgender heterosexual participants. CONCLUSION Small sample sizes of sexual and gender minority subgroups might have obscured some differences that would have been observable in larger samples. Despite this, we found statistically significant sexual and/or gender identity differences in several health areas, especially mental, sexual, and overall health.


Assuntos
Humanos , Masculino , Feminino , Fatores de Risco , Inquéritos Epidemiológicos , Saúde de Gênero , Minorias Sexuais e de Gênero , Identidade de Gênero
13.
Stud Health Technol Inform ; 285: 253-258, 2021 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-34734882

RESUMO

Genomic information is key for the implementation of real personalized medicine. Nevertheless, access to this kind of information must be controlled because of its high privacy and security requirements. Several genomic information formats exist, although we have started from MPEG-G as it includes metadata and protection mechanisms since its inception and provides a hierarchical structure to organize the information contained. The proposed GIPAMS modular architecture provides a secure and controlled access to genomic information, which may help on improving personalized medicine as described in this paper.


Assuntos
Segurança Computacional , Privacidade , Confidencialidade , Genômica , Sistemas de Informação
14.
Stud Health Technol Inform ; 287: 50-54, 2021 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-34795078

RESUMO

To handle genomic information while supporting FAIR principles, we present GIPAMS, a modular architecture. GIPAMS provides security and privacy to manage genomic information by means of several independent services and modules that interact among them in an orchestrated way. The paper analyzes how some security and privacy aspects of the FAIRification process are covered by the GIPAMS platform.


Assuntos
Segurança Computacional , Privacidade , Confidencialidade , Genômica
15.
J Synchrotron Radiat ; 28(Pt 4): 1100-1113, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34212873

RESUMO

Determination of electronic structures during chemical reactions remains challenging in studies which involve reactions in the millisecond timescale, toxic chemicals, and/or anaerobic conditions. In this study, a three-dimensionally (3D) microfabricated microfluidic mixer platform that is compatible with time-resolved X-ray absorption and emission spectroscopy (XAS and XES, respectively) is presented. This platform, to initiate reactions and study their progression, mixes a high flow rate (0.50-1.5 ml min-1) sheath stream with a low-flow-rate (5-90 µl min-1) sample stream within a monolithic fused silica chip. The chip geometry enables hydrodynamic focusing of the sample stream in 3D and sample widths as small as 5 µm. The chip is also connected to a polyimide capillary downstream to enable sample stream deceleration, expansion, and X-ray detection. In this capillary, sample widths of 50 µm are demonstrated. Further, convection-diffusion-reaction models of the mixer are presented. The models are experimentally validated using confocal epifluorescence microscopy and XAS/XES measurements of a ferricyanide and ascorbic acid reaction. The models additionally enable prediction of the residence time and residence time uncertainty of reactive species as well as mixing times. Residence times (from initiation of mixing to the point of X-ray detection) during sample stream expansion as small as 2.1 ± 0.3 ms are also demonstrated. Importantly, an exploration of the mixer operational space reveals a theoretical minimum mixing time of 0.91 ms. The proposed platform is applicable to the determination of the electronic structure of conventionally inaccessible reaction intermediates.

16.
Arch Sex Behav ; 50(8): 3505-3516, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34259985

RESUMO

Understanding the internal diversity of transgender communities is essential for developing optimal, inclusive policies and service provision. To date, research on this topic remains scarce in Chile. We conducted a survey study describing sociodemographic characteristics (age, sex assigned at birth, onset age, nationality, education, sex work, having a partner, having children, sexual orientation, religiousness, gender identification, and gender affirmation pathways). A snowball sample of 377 self-identified transgender adults living in Chile (Mage = 31.88, rangeage = 18-67) was collected for the purpose of this study. According to their sex assigned at birth, 139 participants were female and 238 male. Results revealed that sex assigned at birth was significantly associated with almost all the sociodemographic variables. Eight gender self-identification categories were obtained based on self-declaration. These gender identification categories varied according to sex assigned at birth. Finally, four patterns (clusters) of gender affirmative actions were identified among participants. These patterns indicated that the longer the gender affirmation pathway time, the greater the invasiveness level of the medical procedures used. Sex assigned at birth moderated the association between gender affirmation pathways and gender identity categories. Results were discussed highlighting the heterogeneity found in terms of sociodemographic characteristics, gender identification, and gender affirmation pathways.


Assuntos
Pessoas Transgênero , Transexualidade , Adolescente , Adulto , Idoso , Criança , Chile/epidemiologia , Feminino , Identidade de Gênero , Humanos , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
17.
Interdisciplinaria ; 38(1): 217-234, ene. 2021.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1149390

RESUMO

Resumen El presente trabajo expone y fundamenta recomendaciones basadas en la experiencia de investigación en personas transgénero, con la intención de que puedan ser útiles a quienes realicen estudios con dicha población. Estas recomendaciones incluyen orientaciones conceptuales, metodológicas y éticas, aplicables a lo largo del proceso de investigación. En particular, las orientaciones cubren los siguientes temas: definir con precisión el colectivo con el que se trabaja, registrar la variedad de identificaciones de género posibles al interior del mismo, utilizar métodos de muestreo aptos para poblaciones de difícil acceso, retribuir la participación, incluir líderes e investigadores transgéneros como expertos, pilotar los instrumentos en la población que será investigada, optar por modalidades de recolección grupal de datos, ofrecer asistencia individualizada durante la recolección, utilizar un lenguaje no estigmatizante e inclusivo, convocar la participación en conjunto con organizaciones transgénero, atender a la movilidad geográfica de la población, realizar una escucha comprometida y contemplar protocolos de derivación, considerar las diferentes trayectorias de transición, realizar sesiones de interanálisis y, finalmente, difundir apropiadamente los hallazgos al interior de la población transgénero. Se discuten estas proposiciones en términos de sus efectos en las comunidades trans, su utilidad y alcances éticos, su articulación con exigencias generales de toda investigación y sus implicaciones para el activismo.


Abstract Prejudice and discrimination have important effects on the well-being and quality of life of trans people. Hence, investigating with said population implies, in addition to actions to obtain relevant and truthful information, having the necessary actions to attend to their needs and peculiarities. These are populations that are difficult to access (hard-to-reach), stigmatized, in which there is no defined sampling frame, that have physical and mental health indicators lower than those of any other group with which we have worked and that, therefore, it is necessary to take extreme the precautions not to reproduce types of relationships that may be harmful or offensive. The purpose of the present article was to systematize part of our field experience with transgender people, so that it can be useful for those who study with this population. These recommendations aim to provide some conceptual, methodological and ethical guidelines, useful throughout the research process. In particular, we made a series of recommendations that cover from the moment of taking conceptual decisions about the design of the study, through contact with the organizations, until the completion of the field work and subsequent stage of dissemination of results. In particular, a series of recommendations are made regarding: specifying the definition of the group with which one works, recording the variety of gender identifications as people present them, using to sampling methods for hard-to-reach populations or hidden populations, deliver a retribution for the participation (consider participants as experts to be compensated for their work), including activists as experts in every stage of the study (study design, field work, data analysis and dissemination of results), piloting the instruments in specific population, preferably opt for group applications modality and continue with a debriefing, have specific assistance for participants during the application (special needs derived from their age, educational level, reduced mobility, among others), use non-stigmatizing and inclusive language, call together with trans organizations (in order to establish greater trust in the population), attend to a mobility of the population (so as not to replicate the sample in different places), carry out a committed listening and contemplate referral protocols (if necessary given the type of situations described by the participants and their current degree of elaboration), consider different trajectories of transition, conduct inter-analysis sessions and disseminate appropriately within the transgender population. These propositions are discussed in terms of their effects on trans communities, their usefulness and ethical scope, their articulation with the general requirements of all research, and their implications for activism. On the other hand, these recommendations can serve as criteria for evaluating the ethical dimension of research projects with trans people. It may therefore be important to project reviewers, editors, and reviewers of manuscripts submitted for publication. The perspective that we assume in this work is aligned with those called "evidence-based activism", which implies articulating a variety of knowledge, scientifically accredited and of an "experiential" type, in order to explore situations in which the team members Research staff are part of networks that involve them personally in their study topics. It is precisely the relationship with groups that work for the rights of minorities, activists and members of these groups is essential, since they have knowledge acquired through their experience as part of discriminated groups and they can contribute to the mobilization of knowledge in the governance of health issues.

18.
Acta Paediatr ; 110(2): 441-449, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32961592

RESUMO

In recent years, the field of infectious diseases has been hit by the overwhelming amount of information generated while the human microbiome is being disentangled. Based on the interaction between the microbiota and the immune system, the implications regarding infectious diseases are probably major and remain a challenge. AIMS: This review was conceived as a comprehensive tool to provide an overview of the available evidence regarding the influence of the microbiome on infectious diseases in children. METHODS: We present the main findings aroused from microbiome research in prevention, diagnosis and treatment of infectious disease under a paediatric perspective, to inform clinicians of the potential relevance of microbiome-related knowledge for translation to clinical practice. RESULTS AND CONCLUSION: The evidence shown in this review highlights the numerous research gaps ahead and supports the need to move forward to integrating the so-called microbiome thinking into our routine clinical practice.


Assuntos
Doenças Transmissíveis , Microbiota , Criança , Doenças Transmissíveis/terapia , Humanos
19.
Hum Brain Mapp ; 42(4): 1054-1069, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33231916

RESUMO

Carry-over effects on brain states have been reported following emotional and cognitive events, persisting even during subsequent rest. Here, we investigated such effects by identifying recurring co-activation patterns (CAPs) in neural networks at rest with functional magnetic resonance imaging (fMRI). We compared carry-over effects on brain-wide CAPs at rest and their modulation after both affective and cognitive challenges. Healthy participants underwent fMRI scanning during emotional induction with negative valence and performed cognitive control tasks, each followed by resting periods. Several CAPs, overlapping with the default-mode (DMN), salience, dorsal attention, and social cognition networks were impacted by both the preceding events (movie or task) and the emotional valence of the experimental contexts (neutral or negative), with differential dynamic fluctuations over time. Temporal metrics of DMN-related CAPs were altered after exposure to negative emotional content (compared to neutral) and predicted changes in subjective affect on self-reported scores. In parallel, duration rates of another attention-related CAP increased with greater task difficulty during the preceding cognitive control condition, specifically in the negative context. These findings provide new insights on the anatomical organization and temporal inertia of functional brain networks, whose expression is differentially shaped by emotional states, presumably mediating adaptive homeostatic processes subsequent to behaviorally challenging events.


Assuntos
Afeto/fisiologia , Conectoma , Rede de Modo Padrão/fisiologia , Função Executiva/fisiologia , Rede Nervosa/fisiologia , Desempenho Psicomotor/fisiologia , Adulto , Conectoma/métodos , Rede de Modo Padrão/diagnóstico por imagem , Feminino , Humanos , Imageamento por Ressonância Magnética , Rede Nervosa/diagnóstico por imagem , Adulto Jovem
20.
Stud Health Technol Inform ; 275: 37-41, 2020 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-33227736

RESUMO

Making data Findable, Accessible, Interoperable and Reusable (FAIR) is a good approach when data needs to be shared. However, security and privacy are still critical aspects. In the FAIRification process, there is a need both for de-identification of data and for license attribution. The paper analyses some of the issues related to this process when the objective is sharing genomic information. The main results are the identification of the already existing standards that could be used for this purpose and how to combine them. Nevertheless, the area is quickly evolving and more specific standards could be specified.


Assuntos
Genômica , Privacidade , Segurança Computacional
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