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1.
Nurs Adm Q ; 43(3): 205-211, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31162339

RESUMO

The Internet is a utility, just as water and electricity are, and is directly linked to care outcomes, budgeting considerations, and workforce acquisition. If water or electricity services were to be throttled up and down or commoditized, it would be important for health care leaders to understand and prepare for the resulting disruptions. In 2017, the Federal Communications Commission voted to eliminate consumer protection regulations that stopped Internet service providers from interfering with Internet service put in place under President Bush and maintained during the Obama administration. The elimination of these protections threatens to disrupt the Internet as the platform on which our health care industry builds capacity for health information exchange. The ability of Internet service providers to throttle up and down speed based on their own interests threatens our ability to meet community needs and increases the likelihood of health care disparities, just as would happen if city water providers could ration water based on their own economic interests. Proponents for net in-neutrality argue that not all Internet traffic should be equal. For instance, there could be an advantage for health care if data traffic related to health care operations was prioritized over video streaming a movie or uploading a video, but if health care companies would be required to pay for that speed, there would be financial considerations. Nurse leaders need to understand the real and possible consequences of the Internet's lack of consumer protection regulations.


Assuntos
Assistência à Saúde/métodos , Internet/tendências , Atitude Frente aos Computadores , Assistência à Saúde/tendências , Humanos , Informática Médica/métodos , Informática Médica/tendências
2.
Sensors (Basel) ; 19(8)2019 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-30999637

RESUMO

The Internet of Things (IoT) has tremendous success in health care, smart city, industrial production and so on. Protected agriculture is one of the fields which has broad application prospects of IoT. Protected agriculture is a mode of highly efficient development of modern agriculture that uses artificial techniques to change climatic factors such as temperature, to create environmental conditions suitable for the growth of animals and plants. This review aims to gain insight into the state-of-the-art of IoT applications in protected agriculture and to identify the system structure and key technologies. Therefore, we completed a systematic literature review of IoT research and deployments in protected agriculture over the past 10 years and evaluated the contributions made by different academicians and organizations. Selected references were clustered into three application domains corresponding to plant management, animal farming and food/agricultural product supply traceability. Furthermore, we discussed the challenges along with future research prospects, to help new researchers of this domain understand the current research progress of IoT in protected agriculture and to propose more novel and innovative ideas in the future.


Assuntos
Agricultura/tendências , Redes de Comunicação de Computadores , Abastecimento de Alimentos , Internet/tendências , Cidades , Humanos , Tecnologia sem Fio
3.
Adv Physiol Educ ; 43(2): 103-109, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-30835146

RESUMO

The use of computers as a pedagogical resource is currently on the rise. In the case of immunology, students present difficulties in visualizing molecular phenomena. Thus the use of animations and simulations available on the internet might facilitate the learning of complex immunological concepts. In this context, it is important to map and assess the currently available resources that may be used for educational purposes. This study comprises the search and analysis of educational immunology software freely available on the internet, which can aid students and health professionals in effective learning and continuing education scenarios. A detailed search in English on the existence of free software was carried out on websites and scientific databases. The results clearly indicate a lack of freely available and scientifically validated immunology educational software, despite the existence of several software programs that could be used as auxiliary teaching tools.


Assuntos
Alergia e Imunologia/educação , Instrução por Computador/métodos , Internet , Software , Alergia e Imunologia/tendências , Instrução por Computador/tendências , Humanos , Internet/tendências , Aprendizagem , Aplicativos Móveis/tendências , Software/tendências
4.
Dig Dis Sci ; 64(5): 1074-1078, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30863954

RESUMO

GOAL: To assess publicly available content derived from official websites of accredited gastroenterology fellowship programs, specifically evaluating data pertinent to prospective applicants. BACKGROUND: The Internet provides access to key information for applicants applying to gastroenterology fellowship, particularly as competition drives applicants to apply to a large number of programs. Thus, it is important for fellowship program websites to be up to date and contain accurate and pertinent information. METHODS: Twenty-nine variables, determined as important website content on the basis of prior published website analyses and from surveys of preferences, were extracted from the relevant websites of all accredited gastroenterology fellowships in the USA. Results were binary-i.e., a website either contained or did not contain each item. RESULTS: A total of 178 websites were evaluated. The mean number of online content items was 14.1(± 3.2 SD) out of a possible 29 (47.1%). Program coordinator contact information, application information, and the number of current fellows were accessible on > 80% of websites. In contrast, the typical number and types of procedures performed by fellows and number of hospitals covered by fellows on call were found on < 10% of websites. Analysis revealed that 23.2% of lifestyle, 48.3% of training, and 59.6% of program variables were met. CONCLUSIONS: Gastroenterology fellowship websites lacked important content. Websites had a lower mean percentage of lifestyle content compared to training and program-related items. An organized website containing relevant information may not only attract qualified applicants but also avert unnecessary email inquiries and inappropriate applications. This study may provide guidance to gastroenterology fellowship programs seeking to improve their websites for applicants.


Assuntos
Bolsas de Estudo/normas , Gastroenterologia/educação , Gastroenterologia/normas , Internet/normas , Internato e Residência/normas , Acreditação/tendências , Bolsas de Estudo/tendências , Gastroenterologia/tendências , Humanos , Internet/tendências , Internato e Residência/tendências
6.
J Cardiothorac Vasc Anesth ; 33(5): 1430-1439, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30600204

RESUMO

The authors aimed to identify interventions documented by randomized controlled trials (RCTs) that reduce mortality in adult critically ill and perioperative patients, followed by a survey of clinicians' opinions and routine practices to understand the clinicians' response to such evidence. The authors performed a comprehensive literature review to identify all topics reported to reduce mortality in perioperative and critical care settings according to at least 2 RCTs or to a multicenter RCT or to a single-center RCT plus guidelines. The authors generated position statements that were voted on online by physicians worldwide for agreement, use, and willingness to include in international guidelines. From 262 RCT manuscripts reporting mortality differences in the perioperative and critically ill settings, the authors selected 27 drugs, techniques, and strategies (66 RCTs, most frequently published by the New England Journal of Medicine [13 papers], Lancet [7], and Journal of the American Medical Association [5]) with an agreement ≥67% from over 250 physicians (46 countries). Noninvasive ventilation was the intervention supported by the largest number of RCTs (n = 13). The concordance between agreement and use (a positive answer both to "do you agree" and "do you use") showed differences between Western and other countries and between anesthesiologists and intensive care unit physicians. The authors identified 27 clinical interventions with randomized evidence of survival benefit and strong clinician support in support of their potential life-saving properties in perioperative and critically ill patients with noninvasive ventilation having the highest level of support. However, clinician views appear affected by specialty and geographical location.


Assuntos
Cuidados Críticos/métodos , Estado Terminal/mortalidade , Internet , Médicos , Ensaios Clínicos Controlados Aleatórios como Assunto/métodos , Inquéritos e Questionários , Cuidados Críticos/tendências , Estado Terminal/terapia , Humanos , Unidades de Terapia Intensiva/tendências , Internet/tendências , Mortalidade/tendências , Médicos/tendências
7.
Int J Public Health ; 64(3): 431-440, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30585297

RESUMO

OBJECTIVES: To compare information sharing of over 379 health conditions on Twitter to uncover trends and patterns of online user activities. METHODS: We collected 1.5 million tweets generated by over 450,000 Twitter users for 379 health conditions, each of which was quantified using a multivariate model describing engagement, user and content aspects of the data and compared using correlation and network analysis to discover patterns of user activities in these online communities. RESULTS: We found a significant imbalance in terms of the size of communities interested in different health conditions, regardless of the seriousness of these conditions. Improving the informativeness of tweets by using, for example, URLs, multimedia and mentions can be important factors in promoting health conditions on Twitter. Using hashtags on the contrary is less effective. Social network analysis revealed similar structures of the discussion found across different health conditions. CONCLUSIONS: Our study found variance in activity between different health communities on Twitter, and our results are likely to be of interest to public health authorities and officials interested in the potential of Twitter to raise awareness of public health.


Assuntos
Promoção da Saúde/métodos , Promoção da Saúde/estatística & dados numéricos , Disseminação de Informação/métodos , Internet/estatística & dados numéricos , Internet/tendências , Mídias Sociais/estatística & dados numéricos , Mídias Sociais/tendências , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Previsões , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Pública/estatística & dados numéricos , Adulto Jovem
8.
Artigo em Inglês | MEDLINE | ID: mdl-30572652

RESUMO

The field of technological behavioural addictions is moving towards specific problems (i.e., gaming disorder). However, more evidence of generalised versus specific Internet use-related addiction problems (generalised pathological Internet use (GPIU) vs. specific pathological Internet use (SPIU)) is still needed. This mixed methods study aimed to disentangle GPIU from SPIU. A partially mixed sequential equal status study design (QUAN→QUAL) was undertaken. First, through an online survey, which adapted the compulsive Internet use scale (CIUS) for three types of problems (i.e., generalised Internet use, and specific online gaming and social networking). Second, potential problem users' perceptions of the evolution of these problems (aetiology, development, consequences, and factors) were ascertained, through semi-structured interviews, together with their opinion on present Internet gaming disorder (IGD) criteria adapted to each problem studied. Findings showed the CIUS remains valid and reliable for GPIU and SPIUs examined; a prevalence between 10.8% and 37.4% was estimated for potential at-risk problem gamers and Internet users, respectively, who reported their preference for maintaining their virtual lives. Half of the sample had a risk of a unique or mixed profile of these problems. Moreover, device patterns, gender, and age issues emerged, such as problem gamers being proportionally equal male and female young or middle-aged adults. GPIU was highly associated with problem social networking use, and weakly with problematic gaming, but both SPIUs were independent. Concerning addictive symptoms, salience, deception, and tolerance required redefinition, especially for SPIUs, while better-valued IGD criteria applied to GPIU and SPIUs were: Risk relationships or opportunities, give up other activities, withdrawal, and continue despite problems. Thus, although problems studied are present as risk behaviours, SPIUs seem to cover the addictive symptomatology in those categorised as potential problem users, online gaming being the most severe behavioural addiction problem.


Assuntos
Comportamento Aditivo/psicologia , Jogos Recreativos/psicologia , Internet/tendências , Comportamento Problema/psicologia , Rede Social , Jogos de Vídeo/psicologia , Jogos de Vídeo/tendências , Adolescente , Adulto , Idoso , Comportamento Aditivo/epidemiologia , Bélgica/epidemiologia , Feminino , Humanos , Internet/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Prevalência , Inquéritos e Questionários , Jogos de Vídeo/estatística & dados numéricos , Adulto Jovem
9.
Cyberpsychol Behav Soc Netw ; 21(9): 569-574, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30212247

RESUMO

This article investigates how the world uses Google, the most popular search engine, to look for information about the "Internet" as well as two symptoms of emotional well-being, namely "anxiety" and "happiness." Data corresponding to 202 countries were collected for a period of 5 years from 2013 to 2017 using Google Trends, a free surveillance tool that reports data from the search engine. The search volume of "Internet" was positively correlated with that of "anxiety" as well as "happiness." Furthermore, the article analyzed if the search volumes correlated with actual emotional well-being measured using the World Happiness Index provided by the United Nations (UN) and the Life Satisfaction Index provided by the Organization for Economic Co-operation and Development (OECD). The search volume of "anxiety" showed positive correlations with both the indices. The results are discussed, and new directions for future research are identified.


Assuntos
Ansiedade/psicologia , Felicidade , Comportamento de Busca de Informação , Internet , Ferramenta de Busca , Comparação Transcultural , Humanos , Internet/tendências , Qualidade de Vida/psicologia , Ferramenta de Busca/tendências , Estatística como Assunto
11.
Drug Alcohol Depend ; 190: 166-169, 2018 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-30036853

RESUMO

BACKGROUND: For a number of fiscal and practical reasons, data on heroin use have been of poor quality, which has hampered the ability to halt the growing epidemic. Internet search data, such as those made available by Google Trends, have been used as a low-cost, real-time data source for monitoring and predicting a variety of public health outcomes. We aimed to determine whether data on opioid-related internet searches might predict future heroin-related admissions to emergency departments (ED). METHODS: Across nine metropolitan statistical areas (MSAs) in the United States, we obtained data on Google searches for prescription and non-prescription opioids, as well as Substance Abuse and Mental Health Services Administration (SAMHSA) data on heroin-related ED visits from 2004 to 2011. A linear mixed model assessed the relationship between opioid-related Internet searches and following year heroin-related visits, controlling for MSA GINI index and total number of ED visits. RESULTS: The best-fitting model explained 72% of the variance in heroin-related ED visits. The final model included the search keywords "Avinza," "Brown Sugar," "China White," "Codeine," "Kadian," "Methadone," and "Oxymorphone." We found regional differences in where and how people searched for opioid-related information. CONCLUSIONS: Internet search-based modeling should be explored as a new source of insights for predicting heroin-related admissions. In geographic regions where no current heroin-related data exist, Internet search modeling might be a particularly valuable and inexpensive tool for estimating changing heroin use trends. We discuss the immediate implications for using this approach to assist in managing opioid-related morbidity and mortality in the United States.


Assuntos
Analgésicos Opioides , Serviço Hospitalar de Emergência/tendências , Dependência de Heroína/epidemiologia , Dependência de Heroína/terapia , Internet/tendências , Admissão do Paciente/tendências , Adulto , Analgésicos Opioides/uso terapêutico , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Previsões , Dependência de Heroína/diagnóstico , Humanos , Internet/estatística & dados numéricos , Modelos Lineares , Masculino , Projetos Piloto , Valor Preditivo dos Testes , Saúde Pública/tendências , Estados Unidos/epidemiologia , United States Substance Abuse and Mental Health Services Administration/tendências
13.
Drug Alcohol Depend ; 187: 155-159, 2018 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-29669296

RESUMO

AIMS: The purpose of this paper is to analyze characteristics of marijuana concentrate users, describe patterns and reasons of use, and identify factors associated with daily use of concentrates among U.S.-based cannabis users recruited via a Twitter-based online survey. METHODS: An anonymous Web-based survey was conducted in June 2017 with 687 U.S.-based cannabis users recruited via Twitter-based ads. The survey included questions about state of residence, socio-demographic characteristics, and cannabis use including marijuana concentrates. Multiple logistic regression analyses were conducted to identify characteristics associated with lifetime and daily use of marijuana concentrates. RESULTS: Almost 60% of respondents were male, 86% were white, and the mean age was 43.0 years. About 48% reported marijuana concentrate use. After adjusting for multiple testing, significant predictors of concentrate use included: living in "recreational" (AOR = 2.04; adj. p = .042) or "medical, less restrictive" (AOR = 1.74; adj. p = .030) states, being younger (AOR = 0.97, adj. p = .008), and daily herbal cannabis use (AOR = 2.57, adj. p = .008). Out of 329 marijuana concentrate users, about 13% (n = 44) reported daily/near daily use. Significant predictors of daily concentrate use included: living in recreational states (AOR = 3.59, adj. p = .020) and using concentrates for therapeutic purposes (AOR = 4.34, adj. p = .020). CONCLUSIONS: Living in states with more liberal marijuana policies is associated with greater likelihood of marijuana concentrate use and with more frequent use. Characteristics of daily users, in particular, patterns of therapeutic use warrant further research with community-recruited samples.


Assuntos
Fumar Maconha/epidemiologia , Fumar Maconha/tendências , Uso da Maconha/epidemiologia , Uso da Maconha/tendências , Mídias Sociais/tendências , Inquéritos e Questionários , Adulto , Cannabis , Feminino , Humanos , Internet/tendências , Masculino , Maconha Medicinal/administração & dosagem , Estados Unidos/epidemiologia , Adulto Jovem
15.
Infant Behav Dev ; 50: 224-237, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29427921

RESUMO

OBJECTIVE: PediaTrac™, a 363-item web-based tool to track infant development, administered in modules of ∼40-items per sampling period, newborn (NB), 2--, 4--, 6--, 9-- and 12--months was validated. Caregivers answered demographic, medical, and environmental questions, and questions covering the sensorimotor, feeding/eating, sleep, speech/language, cognition, social-emotional, and attachment domains. METHODS: Expert Panel Reviews and Cognitive Interviews (CI) were conducted to validate the item bank. Classical Test Theory (CTT) and Item Response Theory (IRT) methods were employed to examine the dimensionality and psychometric properties of PediaTrac with pooled longitudinal and cross-sectional cohorts (N = 132). RESULTS: Intraclass correlation coefficients (ICC) for the Expert Panel Review revealed moderate agreement at 6 -months and good reliability at other sampling periods. ICC estimates for CI revealed moderate reliability regarding clarity of the items at NB and 4 months, good reliability at 2--, 9-- and 12--months and excellent reliability at 6 -months. CTT revealed good coefficient alpha estimates (α ≥ 0.77 for five of the six ages) for the Social-Emotional/Communication, Attachment (α ≥ 0.89 for all ages), and Sensorimotor (α ≥ 0.75 at 6-months) domains, revealing the need for better targeting of sensorimotor items. IRT modeling revealed good reliability (r = 0.85-0.95) for three distinct domains (Feeding/Eating, Social-Emotional/Communication and Attachment) and four subdomains (Feeding Breast/Formula, Feeding Solid Food, Social-Emotional Information Processing, Communication/Cognition). Convergent and discriminant construct validity were demonstrated between our IRT-modeled domains and constructs derived from existing developmental, behavioral and caregiver measures. Our Attachment domain was significantly correlated with existing measures at the NB and 2-month periods, while the Social-Emotional/Communication domain was highly correlated with similar constructs at the 6-, 9- and 12-month periods. CONCLUSION: PediaTrac has potential for producing novel and effective estimates of infant development via the Sensorimotor, Feeding/Eating, Social-Emotional/Communication and Attachment domains.


Assuntos
Cuidadores/tendências , Desenvolvimento Infantil/fisiologia , Internet/normas , Internet/tendências , Inquéritos e Questionários/normas , Adulto , Cuidadores/psicologia , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Masculino , Projetos Piloto , Psicometria , Reprodutibilidade dos Testes
18.
Contemp Nurse ; 54(1): 97-107, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28780901

RESUMO

BACKGROUND: People use social media to express perceptions, attitudes and a wide range of concerns regarding human life. AIM: This study aims at analysing the ongoing discussions on the internet microblog Twitter and offers some coming predicaments regarding developments in geriatric nursing regarding nursing robots. METHODS: Data were retrospectively collected from Twitter. 1322 mentions were included in the final analyses, where principles of interpreting data by using netnography were utilized. RESULTS: Many ideas are presented expressing functional, psychological and social aspects of robots in nursing care. Most postings come from metropolitan cities around the globe. The discussion focuses on market-driven, science fiction solutions for aged care. Twitter users overall seem to be positive using various nursing robots in aged care. These discussions offer a window into the attitudes and ideas of this group of users. CONCLUSION: We suggest that monitoring Twitter discussions on social media can provide valuable insights into current attitudes as well as forecast coming trends.


Assuntos
Atitude do Pessoal de Saúde , Atitude Frente aos Computadores , Enfermagem Geriátrica/tendências , Pessoal de Saúde/psicologia , Internet/tendências , Robótica/tendências , Mídias Sociais/tendências , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Previsões , Humanos , Internet/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Robótica/estatística & dados numéricos , Mídias Sociais/estatística & dados numéricos
19.
J Telemed Telecare ; 24(3): 238-253, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28347217

RESUMO

Introduction Telemedicine has been implemented in many countries and has captured the attention of many researchers. Herein, we aim to quantify publication hotspots in the field of telemedicine, analyse their evolution, compare them in different countries, and provide visual representations. Methods We used software tools to process PubMed entries for a 54-year period and identified publication hotspots using keyword frequency analysis. We employed a keyword co-occurrence analysis, principal component analysis, multidimensional scaling analysis, and network visualization technology. Results The number of Medical Subject Heading (MeSH) terms increased with time. The most common subcategories of telemedicine between 1962 and 2015 were Remote Consultation, Teleradiology, and Telepathology. The most popular information communication technologies in telemedicine publications were related to the Internet and cell phones. The topics of Patient Satisfaction, Treatment Outcomes, and Home Care Services associated with telemedicine were highlighted after the 1990s. Use frequency of the terms Cell Phones and Self-Care increased drastically in the past six years, and the publication focus in six countries that had the highest output was different. Knowledge network maps and perceptual maps show the relationship between high-frequency MeSH terms. Discussion The telemedicine field has experienced significant growth and expansion in knowledge and innovation in the last 54 years. Publication hotspots for telemedicine lean towards clinical treatment, home care services, and personal care, and countries emphasize publishing in areas related to their national characteristics. This study quantitatively discusses publication hotspots, provides an objective and systematic understanding of this field, and suggests directions for future telemedicine research.


Assuntos
Internet/tendências , Publicações/tendências , Telemedicina/tendências , Telefone Celular/tendências , Medicina Baseada em Evidências , Pesquisa sobre Serviços de Saúde/tendências , Serviços de Assistência Domiciliar , Humanos , Consulta Remota/tendências , Telerradiologia/tendências
20.
J Cardiothorac Vasc Anesth ; 32(1): 225-235, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29122431

RESUMO

OBJECTIVE: A careful choice of perioperative care strategies is pivotal to improve survival in cardiac surgery. However, there is no general agreement or particular attention to which nonsurgical interventions can reduce mortality in this setting. The authors sought to address this issue with a consensus-based approach. DESIGN: A systematic review of the literature followed by a consensus-based voting process. SETTING: A web-based international consensus conference. PARTICIPANTS: More than 400 physicians from 52 countries participated in this web-based consensus conference. INTERVENTIONS: The authors identified all studies published in peer-reviewed journals that reported on interventions with a statistically significant effect on mortality in the setting of cardiac surgery through a systematic Medline/PubMed search and contacts with experts. These studies were discussed during a consensus meeting and those considered eligible for inclusion in this study were voted on by clinicians worldwide. MEASUREMENTS AND MAIN RESULTS: Eleven interventions finally were selected: 10 were shown to reduce mortality (aspirin, glycemic control, high-volume surgeons, prophylactic intra-aortic balloon pump, levosimendan, leuko-depleted red blood cells transfusion, noninvasive ventilation, tranexamic acid, vacuum-assisted closure, and volatile agents), whereas 1 (aprotinin) increased mortality. A significant difference in the percentages of agreement among different countries and a variable gap between agreement and clinical practice were found for most of the interventions. CONCLUSIONS: This updated consensus process identified 11 nonsurgical interventions with possible survival implications for patients undergoing cardiac surgery. This list of interventions may help cardiac anesthesiologists and intensivists worldwide in their daily clinical practice and can contribute to direct future research in the field.


Assuntos
Procedimentos Cirúrgicos Cardíacos/mortalidade , Procedimentos Cirúrgicos Cardíacos/tendências , Conferências de Consenso como Assunto , Assistência Perioperatória/métodos , Complicações Pós-Operatórias/mortalidade , Complicações Pós-Operatórias/prevenção & controle , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Congressos como Assunto/tendências , Consenso , Humanos , Internet/tendências , Mortalidade/tendências , Assistência Perioperatória/tendências , Ensaios Clínicos Controlados Aleatórios como Assunto/métodos
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