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and the topics of their posts are unknown&#46; The objective of this study is to describe the characteristics of pages related to atopic dermatitis on social media&#44; the topics of their posts&#44; and the extent to which they are followed in order to identify failings and guide future information campaigns&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Materials and Methods</span><p id="par0020" class="elsevierStylePara elsevierViewall">The methods used are similar to those described by Meng et al&#46; in the field of epilepsy and social media&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> The social media selected were Facebook&#44; Twitter&#44; and LinkedIn&#59; Instagram was excluded due to the limitation of its search engine to providing a maximum of 55 results &#40;even when more exist&#41; in most cases&#46; A search was performed on the included platforms during the months of February and March 2020&#44; using the terms &#8220;dermatitis&#8221;&#44; &#8220;atopic&#8221;&#44; &#8220;eczema&#8221;&#44; and &#8220;atopy&#8221;&#44; separately and in combination&#46; Two dermatologists with experience in atopic dermatitis &#40;A&#46;I&#46;P&#46; and A&#46;C&#46;T&#46;&#41; selected the pages&#44; accounts&#44; or groups on social media with a theme related to atopic dermatitis&#44; based on the title&#44; summary&#44; or additional information in each case&#46; Pages in languages other than English or Spanish and pages not exclusively related to the disease or not centered on humans were excluded&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The country of origin&#44; year created&#44; presence of links to informative websites&#44; existence of a contact e-mail address&#44; and total number of followers were recorded for each record included&#46; For Facebook&#44; the total number of followers was considered to be equivalent to the number of likes of the page or group&#46; Each page&#44; group&#44; or account was then classified according to its purpose&#44; based on the title&#44; page description&#44; and related activity&#46; To perform this classification&#44; following an exploratory analysis of the first 90 records included in the study &#40;45 from Facebook&#44; 30 from Twitter&#44; and 15 from LinkedIn&#41;&#44; the following categories were designated &#8221;Patient support groups&#8221;&#44; &#8220;Research and new therapies&#8221;&#44; &#8220;Companies or product sales&#8221;&#44; and &#8220;Personal&#47;individual experiences or opinions&#8221;&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">In the second phase of the study&#44; the topics of the last 20 posts of the 20 records with the most followers&#47;likes from each social media platform were analyzed to determine how many of them provided general information on the disease&#44; information on care or treatment of the skin&#44; support or answers to queries&#44; promotion or sale of products&#44; received thanks from patients&#44; or none of the foregoing&#46; In cases in which the total number of posts was less than 20&#44; we collected only those that were available&#46; All the data were analyzed independently by 2 dermatologists and disagreements between them were evaluated by a third researcher &#40;L&#46;C&#46;M&#46;&#41;&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Statistical Analysis</span><p id="par0035" class="elsevierStylePara elsevierViewall">The data were analyzed using version 26 of the SPSS statistical software package&#46; Frequency distribution was calculated for qualitative variables and mean and median&#44; and standard deviation for quantitative variables&#46; When non-normal distribution of the data was confirmed by means of the Kolmogorov-Smirnov test&#44; nonparametric tests were used to evaluate the differences between the mean number of users of each social network platform&#46; Values of <span class="elsevierStyleItalic">P</span> &#60;<span class="elsevierStyleHsp" style=""></span>&#46;05 were considered to be statistically significant for all analyses&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Ethical Considerations</span><p id="par0040" class="elsevierStylePara elsevierViewall">The study did not require the approval of the hospital&#8217;s ethics and clinical research committee&#44; as it did not include direct evaluation or collection of identifiable patient data&#46; All the data were obtained from sources considered to be public-access&#44; the page names were omitted&#44; and no interaction of any kind was held with the users of the social media platforms&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Results</span><p id="par0045" class="elsevierStylePara elsevierViewall">A total of 257 pages&#44; groups&#44; or accounts from the 3 social media platforms were included in the study &#40;171 on Facebook&#44; 59 on Twitter&#44; and 27 on LinkedIn&#41;&#46; Facebook was the platform with the greatest total and mean number of followers per record &#40;total&#44; 251218&#59; mean&#44; 1460&#46;57&#41;&#44; with significant differences between the number of followers on the social media platforms studied &#40;<span class="elsevierStyleItalic">P</span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001 Kruskal Wallis&#41;&#46; In cases where the origin was reported &#40;149&#41;&#44; the Americas was the most frequent&#44; accounting for 19&#46;8&#37; of cases&#46; Links to websites were present in 42&#46;8&#37; of records&#44; whereas only 9&#46;3&#37; provided a contact e-mail address&#46; The pages&#44; groups&#44; or accounts with links to websites presented a higher mean number of followers &#40;1605&#46;89&#59; <span class="elsevierStyleItalic">P</span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001 Mann Whitney U&#41;&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The most frequent objective of each page&#44; group&#44; or account on Facebook and LinkedIn was that of &#8220;Patient support groups&#8221; &#40;72&#46;4&#37; and 52&#46;9&#37;&#44; respectively&#41;&#44; whereas on Twitter&#44; the most frequently observed objective was expressing &#8220;personal&#47;individual experiences or opinions&#8221;&#44; accounting for 42&#46;4&#37; of cases&#46; <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> shows the distribution of each category in the 3 social media platforms&#46; Significant differences were observed between the number of followers and the purpose of the page&#44; group&#44; or account &#40;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;035 Kruskal Wallis&#41;&#59; records classified as &#8220;companies or product sales&#8221; presented a higher number of followers &#40;1616&#46;14<span class="elsevierStyleHsp" style=""></span>&#91;3162&#46;5&#93;&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a> shows the evolution over time of the pages&#44; groups&#44; or accounts on the 3 social media platforms studied&#46; The figure shows the number of records created each year in total and with respect only to &#8220;Patient support groups&#8221; in particular&#46; A total of 14 records did not mention the year in which activity began on the platform and were therefore excluded from this analysis&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">In the second part of the study&#44; the topics of the last 20 posts of the 20 pages&#44; groups&#44; or accounts with the most followers on each social media platform were analyzed&#46; A total of 909 posts were included &#40;395 from Facebook&#44; 297 from Twitter&#44; and 117 from LinkedIn&#41;&#46; &#8220;General information on atopic dermatitis&#8221; was the most frequent topic&#44; accounting for 27&#46;94&#37; of posts&#46; Most of these posts provided open data on the pathogenesis or nature of the disease&#59; e&#46;g&#46;&#44; &#8220;<span class="elsevierStyleItalic">Atopic dermatitis is estimated to affect between</span> 10&#37; <span class="elsevierStyleItalic">and</span> 20&#37; <span class="elsevierStyleItalic">of children and between 1&#37; and 3&#37; of adults</span>&#8221; or &#8220;<span class="elsevierStyleItalic">Atopic dermatitis tends to appear in babies at the age of 5 months&#8230;</span>&#8221; &#46; The second most frequent topic was &#8220;support or answering queries&#8221;&#44; accounting for 23&#46;65&#37; of the total&#46; These posts or tweets focused predominantly on answering questions related to treatment or triggers of the disease&#59; e&#46;g&#46;&#44; My doctor has recommended this product&#46; <span class="elsevierStyleItalic">Has anyone used it&#63;</span>&#44; <span class="elsevierStyleItalic">What is your opinion on bleach baths&#63;</span>&#44; <span class="elsevierStyleItalic">Can atopic dermatitis get worse at the start of winter&#63;</span> Other topics shown in our analysis included &#8220;information on the care or treatment of the skin&#8221; &#40;e&#46;g&#46;&#44; <span class="elsevierStyleItalic">guide to determining what type of excipient we need based on the location of the lesions</span>&#41;&#44; &#8220;promotion or sale of products&#8221; &#40;e&#46;g&#46;&#44; <span class="elsevierStyleItalic">Dermatologists recommend it&#44; get rid of dermatitis with this product</span>&#41; and &#8220;thanks&#8221;&#46; <a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a> shows the main topics observed and their frequency after analyzing 909 posts&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Discussion</span><p id="par0065" class="elsevierStylePara elsevierViewall">Social media are an increasingly widely used resource for exchanging and accessing dermatologic content&#46; Thanks to their capacity for direct communication in real time and to the ability to create virtual communities&#44; social media have become a powerful tool for medical research&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;9</span></a> Particularly in chronic diseases&#44; such as AD&#44; the flexible format of these platforms&#44; without filters&#44; and widely accessible&#44; provides an innovative approach to identifying needs that are not covered in patient care&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> Furthermore&#44; communicating in forums and online messages may facilitate scientific discourse and become established as a valid alternative for planning behavioral or prevention interventions based on the experiences and opinions of populations&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Our results show not only that patients with AD are avid users of social media &#40;319&#44;722 users&#47;likes in total&#41; but also that the presence and following of this entity is different in the social media platforms studied&#46; Overall&#44; Facebook appears to have greater potential than Twitter and LinkedIn in terms of the reach of its posts on AD&#44; with a significantly greater mean number of followers per record &#40;1460&#46;57&#44; <span class="elsevierStyleItalic">P</span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001 Kruskal Wallis&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Previous studies in the field of dermatology suggest that information on social media &#8220;probably or very probably&#8221; influences future decisions made by the patient regarding their medical care&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> Patients&#8217; access to information allows for active participation in their care&#44; turning them into true consumers of knowledge about their disease&#46;<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">11&#44;12</span></a> It is notable that&#44; although patient-centered organizations obtained better representation in terms of number of pages &#40;63&#37; of the total&#41;&#44; records classified as &#8220;companies or product sales&#8221; had the greatest mean number of followers &#40;<span class="elsevierStyleItalic">P</span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;035&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; The reach of social media means that these commercial organizations can advertise or facilitate the purchase of products related to AD for a mass audience&#46; This is a matter that generates debate due to the free&#44; unlimited and often uncontrolled ability to upload content to social media&#46; It is on this point that dermatologists and different organizations have expressed concern and the need for measures to ensure the veracity and quality of the information made available to users&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;13</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">On the other hand&#44; research on AD was the least frequent purpose on the social media platforms studied &#40;22 records&#44; 8&#46;6&#37; of the total&#41;&#46; This is in contrast with the high frequency reported for the use of social media in research with dermatologic patients&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a> In 2017&#44; Howells et al&#46; used social media to select individuals with AD and understand their experiences in relation to the long-term control of eczema&#46; Through 6 online groups&#44; the patients and their caregivers were able to provide their view of this concept in an effective and accessible manner&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> The incorporation of these online communities into experimental research may facilitate patient recruitment via the rapid dissemination of online surveys&#44; thereby identifying potential research subjects&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">Social media are a growing resource for influencing behavior&#44; decisions&#44; and perceptions relating to health&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> Our study has shown an increase over time in the number of pages&#44; groups&#44; or accounts related to AD&#44; probably due to an increase in support groups &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Patients are increasingly active online and use social media to participate&#44; share their concerns&#44; and express themselves freely regarding their disease&#46; The results of this study suggest that patients with AD&#44; as well as actively sharing their experience on social media&#44; receive a large amount of information from other users&#44; patients&#44; or organizations through their posts&#46; A total of 71&#46;61&#37; of the posts analyzed provide &#8220;information on AD&#8221;&#44; &#8220;information on skin care&#8221;&#44; or &#8220;answers queries or provides support&#8221;&#46; These results highlight he ability of users to disseminate materials and opinions related to AD&#44; or even to educate a wide audience on skin care through their posts&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Our study provides a general updated view of the situation of AD on social media&#46; However&#44; it may be limited by the inability to include all social media platforms or by not having used all the search key words on the topic&#46; Other biases inherent to any analysis of social media content&#44; such as the publication bias of the experiences and opinions of users that were not published in any of the 3 platforms may also limit the conclusions of this study&#46; Moreover&#44; the changing nature of some of the variables used&#44; such as the number of followers or the topics of the posts on each page should be taken into account&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a></p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Conclusion</span><p id="par0095" class="elsevierStylePara elsevierViewall">Listening to social media provides us with an opportunity to consider behaviors and interactions that are difficult to evaluate using traditional research methods&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;18</span></a> Our study illustrates the current situation and the evolution over time of AD on 3 of the main social media platforms&#46; Of particular interest are findings such as the mass following of companies and pages related to product sales in AD&#44; the exponential growth in recent years of patient support groups&#44; and the high potential of users for disseminating materials and opinions relating to AD through their posts&#46; All these data highlight the importance of clearly defining the role and limitations of these platforms for orienting future information campaigns and developing new models centered on patients with AD&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicts of Interest</span><p id="par0100" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Social networks have become key tools for finding and disseminating medical information&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the characteristics of social network postings on atopic dermatitis&#44; the content that is posted&#44; and the number of followers of pages&#44; groups&#44; or accounts&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Materials and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We selected pages&#44; groups&#44; or accounts related to atopic dermatitis on Facebook&#44; Twitter&#44; and LinkedIn and followed them in January and February 2020&#46; For each site&#44; group&#44; or account we recorded country of origin&#44; year created&#44; purpose&#44; presence of links&#44; provision of a contact email&#44; and number of followers&#46; We also analyzed the topics treated in recent content posts on the pages with the largest numbers of followers in each network&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 257 pages&#44; groups&#44; or accounts were included&#58; Facebook&#44; 171&#59; Twitter&#44; 59&#59; and LinkedIn&#44; 27&#46; Facebook had the largest total number of pages and mean &#40;SD&#41; number of followers&#58; 1416&#46;71 &#40;3722&#46;63&#41;&#46; Patient support groups accounted for most of the pages &#40;63&#37;&#41;&#44; but businesses or product offers had more followers &#40;<span class="elsevierStyleItalic">P</span> &#60; &#46;035&#41;&#46; Of the 909 posts of informative content we analyzed&#44; the most frequent topic was &#8220;general information about atopic dermatitis&#8221; &#40;27&#46;94&#37;&#41;&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Our findings show the importance of clearly defining the roles and limitations of social media platforms for designing future information campaigns and new patient-centered approaches to reaching patients with atopic dermatitis&#46;</p></span>"
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        "resumen" => "<span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Antecedentes</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Las redes sociales se han convertido en una herramienta clave para la b&#250;squeda y difusi&#243;n de informaci&#243;n m&#233;dica&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Objetivo</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Describir las caracter&#237;sticas de las p&#225;ginas relacionadas con la dermatitis at&#243;pica en las redes sociales&#44; la tem&#225;tica de sus publicaciones y el grado de seguimiento que se realiza de ellas&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Material y m&#233;todos</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Se seleccionaron p&#225;ginas&#44; grupos o cuentas relacionadas con la dermatitis at&#243;pica en Facebook&#44; Twitter y Linkedin durante los meses de enero y febrero de 2020&#46; De cada una de ellas se recogieron&#58; el pa&#237;s de origen&#44; a&#241;o de creaci&#243;n&#44; objetivo&#44; presencia de enlaces a p&#225;ginas web&#44; existencia de correo electr&#243;nico y n&#250;mero de seguidores&#46; Adem&#225;s&#44; se realiz&#243; un an&#225;lisis de las tem&#225;ticas m&#225;s frecuentes en las &#250;ltimas publicaciones de las p&#225;ginas con m&#225;s seguidores de cada red social&#46;</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Resultados</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron en el estudio un total de 257 p&#225;ginas&#44; grupos o cuentas &#40;171 en Facebook&#44; 59 en Twitter y 27 en Linkedin&#41;&#46; Facebook obtuvo un mayor n&#250;mero medio &#40;&#177;DT&#41; y total de seguidores &#40;1416&#44;71<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3722&#44;63&#41;&#46; Los grupos de apoyo a pacientes fueron el tipo de p&#225;gina m&#225;s frecuente &#40;63&#37;&#41;&#44; aunque aquellas clasificadas como empresas o venta de productos obtuvieron un mayor n&#250;mero de seguidores &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;035&#41;&#46; Se analizaron 909 publicaciones&#44; siendo &#8220;Informaci&#243;n general sobre dermatitis at&#243;pica&#8221; la tem&#225;tica m&#225;s frecuente &#40;27&#44;94&#37; del total&#41;&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conclusiones</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Nuestros hallazgos ponen de manifiesto la importancia de definir claramente el papel y las limitaciones de estas plataformas para orientar futuras campa&#241;as de informaci&#243;n y desarrollar nuevos modelos centrados en el paciente con dermatitis at&#243;pica&#46;</p></span>"
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                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_colgroup " colspan="3" align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col">Total&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Facebook&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Twitter&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">LinkedIn&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Pages&#44; groups&#44; or accounts&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">171 &#40;66&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59 &#40;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27 &#40;10&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">257&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Number of followers&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">242258&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">74570&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2894&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Mean<span class="elsevierStyleHsp" style=""></span>&#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">1416&#46;71<span class="elsevierStyleHsp" style=""></span>&#40;3722&#46;63&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1263&#46;89<span class="elsevierStyleHsp" style=""></span>&#40;1915&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">107&#46;19<span class="elsevierStyleHsp" style=""></span>&#40;195&#46;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1244<span class="elsevierStyleHsp" style=""></span>&#40;3192&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Continent&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">116 &#40;67&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23 &#40;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;37&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">149 &#40;58&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Americas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33 &#40;19&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;16&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;29&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51 &#40;19&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Europe&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;6&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">25 &#40;42&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;22&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42 &#40;16&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Asia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;3&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;1&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;11&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;3&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Oceania&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Africa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;2&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;1&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Links&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;26&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43 &#40;72&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;81&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">110 &#40;42&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">126 &#40;73&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16 &#40;27&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;18&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">147 &#40;57&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">E-mail&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;9&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">147 &#40;86&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">233 &#40;90&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Purpose&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Support groups&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">127 &#40;74&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21 &#40;35&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;51&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">162 &#40;63&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Research and new therapies&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16 &#40;9&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;5&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;11&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;8&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Companies and product sales&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;5&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;16&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;29&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28 &#40;10&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Personal opinions&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18 &#40;10&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25 &#40;42&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;7&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;17&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Main Characteristics of the Pages&#44; Groups&#44; or Accounts on the 3 Social Media Platforms Studied&#46;</p>"
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                    0 => array:2 [
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                        0 => array:2 [
                          "etal" => false
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                            0 => "S&#46; Weidinger"
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                            2 => "T&#46; Bieber"
                            3 => "K&#46; Kabashima"
                            4 => "A&#46;D&#46; Irvine"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Update on Atopic Dermatitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "T&#46; Torres"
                            1 => "E&#46;O&#46; Ferreira"
                            2 => "M&#46; Goncalo"
                            3 => "P&#46; Mendes-Bastos"
                            4 => "M&#46; Selores"
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                      "doi" => "10.20344/amp.11963"
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Med Port&#46;"
                        "fecha" => "2019"
                        "volumen" => "32"
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                0 => array:2 [
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                    0 => array:2 [
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                          "etal" => false
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                            0 => "B&#46; Freemyer"
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                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2017.09.005"
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                        "tituloSerie" => "J Am Acad Dermatol&#46;"
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                      "titulo" => "&#8216;I saw it on Facebook&#33;&#8217; Assessing the influence of social media on patient presentation to a melanoma screening clinic"
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                          "etal" => false
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                            0 => "J&#46; Guckian"
                            1 => "K&#46; Jobling"
                            2 => "T&#46; Oliphant"
                            3 => "S&#46; Weatherhead"
                            4 => "K&#46; Blasdale"
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                      "doi" => "10.1111/ced.14100"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "PatientsLikeMe and atopic dermatitis&#58; characterizing the atopic dermatitis patient profile"
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                        0 => array:2 [
                          "etal" => false
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                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:3 [
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Original Article
Social Networks and Atopic Dermatitis: Cross-Sectional Descriptive Study
Redes sociales y dermatitis atópica: estudio descriptivo transversal
Á. Iglesias-Puzasa,
Autor para correspondencia
alvaroigpu@gmail.com

Corresponding author.
, A. Conde-Taboadaa, L. Campos-Muñoza, I. Belinchón-Romerob, E. López-Brana
a Servicio de Dermatología, Hospital Universitario Clínico San Carlos, Madrid, Spain
b Servicio de Dermatología, Hospital General Universitario de Alicante, ISABIAL-UMH, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Atopic dermatitis &#40;AD&#41; is a chronic inflammatory disease with a prevalence of up to 20&#37; in developed countries&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> It is characterized by pruritus and recurrent eczema lesions that are associated with major morbidity and deterioration of patient quality of life&#44; similar to that of other chronic diseases such as diabetes&#44; epilepsy&#44; and cystic fibrosis&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In the age of technology&#44; new advances have not only revolutionized the treatment of AD but have also transformed the way in which our patients and their caregivers obtain information on the disease&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> In recent years&#44; social media have become a key tool for disseminating health-related news and promoting the exchange of medical information&#46; Platforms such as Facebook&#44; Twitter&#44; and LinkedIn have millions of microblogs that act as online communities&#44; dealing with topics from health promotion to the treatment or education of patients with AD&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> These forums are increasingly popular and have become an additional source of evidence&#44; therapy&#44; or support for our patients&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Studies suggest that these channels may serve to communicate messages in an efficient&#44; functional&#44; and transparent way to a mass audience&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> However&#44; the presence and following of these online platforms on AD&#44; and the topics of their posts are unknown&#46; The objective of this study is to describe the characteristics of pages related to atopic dermatitis on social media&#44; the topics of their posts&#44; and the extent to which they are followed in order to identify failings and guide future information campaigns&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Materials and Methods</span><p id="par0020" class="elsevierStylePara elsevierViewall">The methods used are similar to those described by Meng et al&#46; in the field of epilepsy and social media&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> The social media selected were Facebook&#44; Twitter&#44; and LinkedIn&#59; Instagram was excluded due to the limitation of its search engine to providing a maximum of 55 results &#40;even when more exist&#41; in most cases&#46; A search was performed on the included platforms during the months of February and March 2020&#44; using the terms &#8220;dermatitis&#8221;&#44; &#8220;atopic&#8221;&#44; &#8220;eczema&#8221;&#44; and &#8220;atopy&#8221;&#44; separately and in combination&#46; Two dermatologists with experience in atopic dermatitis &#40;A&#46;I&#46;P&#46; and A&#46;C&#46;T&#46;&#41; selected the pages&#44; accounts&#44; or groups on social media with a theme related to atopic dermatitis&#44; based on the title&#44; summary&#44; or additional information in each case&#46; Pages in languages other than English or Spanish and pages not exclusively related to the disease or not centered on humans were excluded&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The country of origin&#44; year created&#44; presence of links to informative websites&#44; existence of a contact e-mail address&#44; and total number of followers were recorded for each record included&#46; For Facebook&#44; the total number of followers was considered to be equivalent to the number of likes of the page or group&#46; Each page&#44; group&#44; or account was then classified according to its purpose&#44; based on the title&#44; page description&#44; and related activity&#46; To perform this classification&#44; following an exploratory analysis of the first 90 records included in the study &#40;45 from Facebook&#44; 30 from Twitter&#44; and 15 from LinkedIn&#41;&#44; the following categories were designated &#8221;Patient support groups&#8221;&#44; &#8220;Research and new therapies&#8221;&#44; &#8220;Companies or product sales&#8221;&#44; and &#8220;Personal&#47;individual experiences or opinions&#8221;&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">In the second phase of the study&#44; the topics of the last 20 posts of the 20 records with the most followers&#47;likes from each social media platform were analyzed to determine how many of them provided general information on the disease&#44; information on care or treatment of the skin&#44; support or answers to queries&#44; promotion or sale of products&#44; received thanks from patients&#44; or none of the foregoing&#46; In cases in which the total number of posts was less than 20&#44; we collected only those that were available&#46; All the data were analyzed independently by 2 dermatologists and disagreements between them were evaluated by a third researcher &#40;L&#46;C&#46;M&#46;&#41;&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Statistical Analysis</span><p id="par0035" class="elsevierStylePara elsevierViewall">The data were analyzed using version 26 of the SPSS statistical software package&#46; Frequency distribution was calculated for qualitative variables and mean and median&#44; and standard deviation for quantitative variables&#46; When non-normal distribution of the data was confirmed by means of the Kolmogorov-Smirnov test&#44; nonparametric tests were used to evaluate the differences between the mean number of users of each social network platform&#46; Values of <span class="elsevierStyleItalic">P</span> &#60;<span class="elsevierStyleHsp" style=""></span>&#46;05 were considered to be statistically significant for all analyses&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Ethical Considerations</span><p id="par0040" class="elsevierStylePara elsevierViewall">The study did not require the approval of the hospital&#8217;s ethics and clinical research committee&#44; as it did not include direct evaluation or collection of identifiable patient data&#46; All the data were obtained from sources considered to be public-access&#44; the page names were omitted&#44; and no interaction of any kind was held with the users of the social media platforms&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Results</span><p id="par0045" class="elsevierStylePara elsevierViewall">A total of 257 pages&#44; groups&#44; or accounts from the 3 social media platforms were included in the study &#40;171 on Facebook&#44; 59 on Twitter&#44; and 27 on LinkedIn&#41;&#46; Facebook was the platform with the greatest total and mean number of followers per record &#40;total&#44; 251218&#59; mean&#44; 1460&#46;57&#41;&#44; with significant differences between the number of followers on the social media platforms studied &#40;<span class="elsevierStyleItalic">P</span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001 Kruskal Wallis&#41;&#46; In cases where the origin was reported &#40;149&#41;&#44; the Americas was the most frequent&#44; accounting for 19&#46;8&#37; of cases&#46; Links to websites were present in 42&#46;8&#37; of records&#44; whereas only 9&#46;3&#37; provided a contact e-mail address&#46; The pages&#44; groups&#44; or accounts with links to websites presented a higher mean number of followers &#40;1605&#46;89&#59; <span class="elsevierStyleItalic">P</span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001 Mann Whitney U&#41;&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The most frequent objective of each page&#44; 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1</a> shows the evolution over time of the pages&#44; groups&#44; or accounts on the 3 social media platforms studied&#46; The figure shows the number of records created each year in total and with respect only to &#8220;Patient support groups&#8221; in particular&#46; A total of 14 records did not mention the year in which activity began on the platform and were therefore excluded from this analysis&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">In the second part of the study&#44; the topics of the last 20 posts of the 20 pages&#44; groups&#44; or accounts with the most followers on each social media platform were analyzed&#46; A total of 909 posts were included &#40;395 from Facebook&#44; 297 from Twitter&#44; and 117 from LinkedIn&#41;&#46; &#8220;General information on atopic dermatitis&#8221; was the most frequent topic&#44; accounting for 27&#46;94&#37; of posts&#46; Most of these posts provided open data on the pathogenesis or nature of the disease&#59; e&#46;g&#46;&#44; &#8220;<span class="elsevierStyleItalic">Atopic dermatitis is estimated to affect between</span> 10&#37; <span class="elsevierStyleItalic">and</span> 20&#37; <span class="elsevierStyleItalic">of children and between 1&#37; and 3&#37; of adults</span>&#8221; or &#8220;<span class="elsevierStyleItalic">Atopic dermatitis tends to appear in babies at the age of 5 months&#8230;</span>&#8221; &#46; The second most frequent topic was &#8220;support or answering queries&#8221;&#44; accounting for 23&#46;65&#37; of the total&#46; These posts or tweets focused predominantly on answering questions related to treatment or triggers of the disease&#59; e&#46;g&#46;&#44; My doctor has recommended this product&#46; <span class="elsevierStyleItalic">Has anyone used it&#63;</span>&#44; <span class="elsevierStyleItalic">What is your opinion on bleach baths&#63;</span>&#44; <span class="elsevierStyleItalic">Can atopic dermatitis get worse at the start of winter&#63;</span> Other topics shown in our analysis included &#8220;information on the care or treatment of the skin&#8221; &#40;e&#46;g&#46;&#44; <span class="elsevierStyleItalic">guide to determining what type of excipient we need based on the location of the lesions</span>&#41;&#44; &#8220;promotion or sale of products&#8221; &#40;e&#46;g&#46;&#44; <span class="elsevierStyleItalic">Dermatologists recommend it&#44; get rid of dermatitis with this product</span>&#41; and &#8220;thanks&#8221;&#46; <a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a> shows the main topics observed and their frequency after analyzing 909 posts&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Discussion</span><p id="par0065" class="elsevierStylePara elsevierViewall">Social media are an increasingly widely used resource for exchanging and accessing dermatologic content&#46; Thanks to their capacity for direct communication in real time and to the ability to create virtual communities&#44; social media have become a powerful tool for medical research&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;9</span></a> Particularly in chronic diseases&#44; such as AD&#44; the flexible format of these platforms&#44; without filters&#44; and widely accessible&#44; provides an innovative approach to identifying needs that are not covered in patient care&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> Furthermore&#44; communicating in forums and online messages may facilitate scientific discourse and become established as a valid alternative for planning behavioral or prevention interventions based on the experiences and opinions of populations&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Our results show not only that patients with AD are avid users of social media &#40;319&#44;722 users&#47;likes in total&#41; but also that the presence and following of this entity is different in the social media platforms studied&#46; Overall&#44; Facebook appears to have greater potential than Twitter and LinkedIn in terms of the reach of its posts on AD&#44; with a significantly greater mean number of followers per record &#40;1460&#46;57&#44; <span class="elsevierStyleItalic">P</span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001 Kruskal Wallis&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Previous studies in the field of dermatology suggest that information on social media &#8220;probably or very probably&#8221; influences future decisions made by the patient regarding their medical care&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> Patients&#8217; access to information allows for active participation in their care&#44; turning them into true consumers of knowledge about their disease&#46;<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">11&#44;12</span></a> It is notable that&#44; although patient-centered organizations obtained better representation in terms of number of pages &#40;63&#37; of the total&#41;&#44; records classified as &#8220;companies or product sales&#8221; had the greatest mean number of followers &#40;<span class="elsevierStyleItalic">P</span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;035&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; The reach of social media means that these commercial organizations can advertise or facilitate the purchase of products related to AD for a mass audience&#46; This is a matter that generates debate due to the free&#44; unlimited and often uncontrolled ability to upload content to social media&#46; It is on this point that dermatologists and different organizations have expressed concern and the need for measures to ensure the veracity and quality of the information made available to users&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;13</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">On the other hand&#44; research on AD was the least frequent purpose on the social media platforms studied &#40;22 records&#44; 8&#46;6&#37; of the total&#41;&#46; This is in contrast with the high frequency reported for the use of social media in research with dermatologic patients&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a> In 2017&#44; Howells et al&#46; used social media to select individuals with AD and understand their experiences in relation to the long-term control of eczema&#46; Through 6 online groups&#44; the patients and their caregivers were able to provide their view of this concept in an effective and accessible manner&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> The incorporation of these online communities into experimental research may facilitate patient recruitment via the rapid dissemination of online surveys&#44; thereby identifying potential research subjects&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">Social media are a growing resource for influencing behavior&#44; decisions&#44; and perceptions relating to health&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> Our study has shown an increase over time in the number of pages&#44; groups&#44; or accounts related to AD&#44; probably due to an increase in support groups &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Patients are increasingly active online and use social media to participate&#44; share their concerns&#44; and express themselves freely regarding their disease&#46; The results of this study suggest that patients with AD&#44; as well as actively sharing their experience on social media&#44; receive a large amount of information from other users&#44; patients&#44; or organizations through their posts&#46; A total of 71&#46;61&#37; of the posts analyzed provide &#8220;information on AD&#8221;&#44; &#8220;information on skin care&#8221;&#44; or &#8220;answers queries or provides support&#8221;&#46; These results highlight he ability of users to disseminate materials and opinions related to AD&#44; or even to educate a wide audience on skin care through their posts&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Our study provides a general updated view of the situation of AD on social media&#46; However&#44; it may be limited by the inability to include all social media platforms or by not having used all the search key words on the topic&#46; Other biases inherent to any analysis of social media content&#44; such as the publication bias of the experiences and opinions of users that were not published in any of the 3 platforms may also limit the conclusions of this study&#46; Moreover&#44; the changing nature of some of the variables used&#44; such as the number of followers or the topics of the posts on each page should be taken into account&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a></p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Conclusion</span><p id="par0095" class="elsevierStylePara elsevierViewall">Listening to social media provides us with an opportunity to consider behaviors and interactions that are difficult to evaluate using traditional research methods&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;18</span></a> Our study illustrates the current situation and the evolution over time of AD on 3 of the main social media platforms&#46; Of particular interest are findings such as the mass following of companies and pages related to product sales in AD&#44; the exponential growth in recent years of patient support groups&#44; and the high potential of users for disseminating materials and opinions relating to AD through their posts&#46; All these data highlight the importance of clearly defining the role and limitations of these platforms for orienting future information campaigns and developing new models centered on patients with AD&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicts of Interest</span><p id="par0100" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Social networks have become key tools for finding and disseminating medical information&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the characteristics of social network postings on atopic dermatitis&#44; the content that is posted&#44; and the number of followers of pages&#44; groups&#44; or accounts&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Materials and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We selected pages&#44; groups&#44; or accounts related to atopic dermatitis on Facebook&#44; Twitter&#44; and LinkedIn and followed them in January and February 2020&#46; For each site&#44; group&#44; or account we recorded country of origin&#44; year created&#44; purpose&#44; presence of links&#44; provision of a contact email&#44; and number of followers&#46; We also analyzed the topics treated in recent content posts on the pages with the largest numbers of followers in each network&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 257 pages&#44; groups&#44; or accounts were included&#58; Facebook&#44; 171&#59; Twitter&#44; 59&#59; and LinkedIn&#44; 27&#46; Facebook had the largest total number of pages and mean &#40;SD&#41; number of followers&#58; 1416&#46;71 &#40;3722&#46;63&#41;&#46; Patient support groups accounted for most of the pages &#40;63&#37;&#41;&#44; but businesses or product offers had more followers &#40;<span class="elsevierStyleItalic">P</span> &#60; &#46;035&#41;&#46; Of the 909 posts of informative content we analyzed&#44; the most frequent topic was &#8220;general information about atopic dermatitis&#8221; &#40;27&#46;94&#37;&#41;&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Our findings show the importance of clearly defining the roles and limitations of social media platforms for designing future information campaigns and new patient-centered approaches to reaching patients with atopic dermatitis&#46;</p></span>"
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        "resumen" => "<span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Antecedentes</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Las redes sociales se han convertido en una herramienta clave para la b&#250;squeda y difusi&#243;n de informaci&#243;n m&#233;dica&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Objetivo</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Describir las caracter&#237;sticas de las p&#225;ginas relacionadas con la dermatitis at&#243;pica en las redes sociales&#44; la tem&#225;tica de sus publicaciones y el grado de seguimiento que se realiza de ellas&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Material y m&#233;todos</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Se seleccionaron p&#225;ginas&#44; grupos o cuentas relacionadas con la dermatitis at&#243;pica en Facebook&#44; Twitter y Linkedin durante los meses de enero y febrero de 2020&#46; De cada una de ellas se recogieron&#58; el pa&#237;s de origen&#44; a&#241;o de creaci&#243;n&#44; objetivo&#44; presencia de enlaces a p&#225;ginas web&#44; existencia de correo electr&#243;nico y n&#250;mero de seguidores&#46; Adem&#225;s&#44; se realiz&#243; un an&#225;lisis de las tem&#225;ticas m&#225;s frecuentes en las &#250;ltimas publicaciones de las p&#225;ginas con m&#225;s seguidores de cada red social&#46;</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Resultados</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron en el estudio un total de 257 p&#225;ginas&#44; grupos o cuentas &#40;171 en Facebook&#44; 59 en Twitter y 27 en Linkedin&#41;&#46; Facebook obtuvo un mayor n&#250;mero medio &#40;&#177;DT&#41; y total de seguidores &#40;1416&#44;71<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3722&#44;63&#41;&#46; Los grupos de apoyo a pacientes fueron el tipo de p&#225;gina m&#225;s frecuente &#40;63&#37;&#41;&#44; aunque aquellas clasificadas como empresas o venta de productos obtuvieron un mayor n&#250;mero de seguidores &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;035&#41;&#46; Se analizaron 909 publicaciones&#44; siendo &#8220;Informaci&#243;n general sobre dermatitis at&#243;pica&#8221; la tem&#225;tica m&#225;s frecuente &#40;27&#44;94&#37; del total&#41;&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conclusiones</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Nuestros hallazgos ponen de manifiesto la importancia de definir claramente el papel y las limitaciones de estas plataformas para orientar futuras campa&#241;as de informaci&#243;n y desarrollar nuevos modelos centrados en el paciente con dermatitis at&#243;pica&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Iglesias-Puzas A&#44; Conde-Taboada A&#44; Campos-Mu&#241;oz L&#44; Belinch&#243;n-Romero I&#44; L&#243;pez-Bran E&#46; Redes sociales y dermatitis at&#243;pica&#58; estudio descriptivo transversal&#46; Actas Dermosifiliogr&#46; 2020&#46; <span class="elsevierStyleInterRef" id="intr0005" href="https://doi.org/10.1016/j.ad.2020.05.006">https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;ad&#46;2020&#46;05&#46;006</span></p>"
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                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Facebook&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Twitter&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">LinkedIn&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Pages&#44; groups&#44; or accounts&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">171 &#40;66&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59 &#40;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27 &#40;10&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">257&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Number of followers&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">242258&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">74570&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2894&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">319722&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mean<span class="elsevierStyleHsp" style=""></span>&#40;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1416&#46;71<span class="elsevierStyleHsp" style=""></span>&#40;3722&#46;63&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1263&#46;89<span class="elsevierStyleHsp" style=""></span>&#40;1915&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">107&#46;19<span class="elsevierStyleHsp" style=""></span>&#40;195&#46;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1244<span class="elsevierStyleHsp" style=""></span>&#40;3192&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Continent&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">116 &#40;67&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23 &#40;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;37&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">149 &#40;58&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Americas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33 &#40;19&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;16&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;29&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51 &#40;19&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Europe&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;6&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25 &#40;42&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;22&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42 &#40;16&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Asia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;3&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;1&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;11&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;3&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Oceania&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Africa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;2&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;1&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Links&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;26&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43 &#40;72&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;81&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">110 &#40;42&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">126 &#40;73&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16 &#40;27&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;18&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">147 &#40;57&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">E-mail&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;9&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">147 &#40;86&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">233 &#40;90&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Purpose&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Support groups&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">127 &#40;74&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21 &#40;35&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;51&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">162 &#40;63&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Research and new therapies&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16 &#40;9&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;5&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;11&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;8&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Companies and product sales&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;5&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;16&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;29&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28 &#40;10&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Personal opinions&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18 &#40;10&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25 &#40;42&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;7&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;17&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  """
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          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Main Characteristics of the Pages&#44; Groups&#44; or Accounts on the 3 Social Media Platforms Studied&#46;</p>"
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                            0 => "T&#46; Torres"
                            1 => "E&#46;O&#46; Ferreira"
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                          "etal" => false
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                            4 => "P&#46; Itin"
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                  "contribucion" => array:1 [
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "N&#46;S&#46; Cook"
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                            2 => "J&#46;-B&#46; Gruenberger"
                            3 => "B&#46; Shah"
                            4 => "P&#46; Pathak"
                            5 => "V&#46;P&#46; Kaur"
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                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;A&#46; Savas"
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