Delay or Avoidance of Medical Care Because of COVID-19-Related Concerns - United States, June 2020.
Identifieur interne : 000683 ( Main/Exploration ); précédent : 000682; suivant : 000684Delay or Avoidance of Medical Care Because of COVID-19-Related Concerns - United States, June 2020.
Auteurs : Mark É Czeisler ; Kristy Marynak ; Kristie E N. Clarke ; Zainab Salah ; Iju Shakya ; Joann M. Thierry ; Nida Ali ; Hannah Mcmillan ; Joshua F. Wiley ; Matthew D. Weaver ; Charles A. Czeisler ; Shantha M W. Rajaratnam ; Mark E. HowardSource :
- MMWR. Morbidity and mortality weekly report [ 1545-861X ] ; 2020.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Délai jusqu'au traitement (statistiques et données numériques), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (psychologie), Infections à coronavirus (épidémiologie), Jeune adulte (MeSH), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (psychologie), Pneumopathie virale (épidémiologie), Refus du traitement (statistiques et données numériques), Sujet âgé (MeSH), États-Unis (épidémiologie).
- MESH :
- psychologie : Infections à coronavirus, Pneumopathie virale.
- statistiques et données numériques : Délai jusqu'au traitement, Refus du traitement.
- épidémiologie : Infections à coronavirus, Pneumopathie virale, États-Unis.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Jeune adulte, Mâle, Pandémies, Sujet âgé.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (psychology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (epidemiology), Pneumonia, Viral (psychology), Time-to-Treatment (statistics & numerical data), Treatment Refusal (statistics & numerical data), United States (epidemiology), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : United States.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- psychology : Coronavirus Infections, Pneumonia, Viral.
- statistics & numerical data : Time-to-Treatment, Treatment Refusal.
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Pandemics, Young Adult.
Abstract
Temporary disruptions in routine and nonemergency medical care access and delivery have been observed during periods of considerable community transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1). However, medical care delay or avoidance might increase morbidity and mortality risk associated with treatable and preventable health conditions and might contribute to reported excess deaths directly or indirectly related to COVID-19 (2). To assess delay or avoidance of urgent or emergency and routine medical care because of concerns about COVID-19, a web-based survey was administered by Qualtrics, LLC, during June 24-30, 2020, to a nationwide representative sample of U.S. adults aged ≥18 years. Overall, an estimated 40.9% of U.S. adults have avoided medical care during the pandemic because of concerns about COVID-19, including 12.0% who avoided urgent or emergency care and 31.5% who avoided routine care. The estimated prevalence of urgent or emergency care avoidance was significantly higher among the following groups: unpaid caregivers for adults* versus noncaregivers (adjusted prevalence ratio [aPR] = 2.9); persons with two or more selected underlying medical conditions† versus those without those conditions (aPR = 1.9); persons with health insurance versus those without health insurance (aPR = 1.8); non-Hispanic Black (Black) adults (aPR = 1.6) and Hispanic or Latino (Hispanic) adults (aPR = 1.5) versus non-Hispanic White (White) adults; young adults aged 18-24 years versus adults aged 25-44 years (aPR = 1.5); and persons with disabilities§ versus those without disabilities (aPR = 1.3). Given this widespread reporting of medical care avoidance because of COVID-19 concerns, especially among persons at increased risk for severe COVID-19, urgent efforts are warranted to ensure delivery of services that, if deferred, could result in patient harm. Even during the COVID-19 pandemic, persons experiencing a medical emergency should seek and be provided care without delay (3).
DOI: 10.15585/mmwr.mm6936a4
PubMed: 32915166
PubMed Central: PMC7499838
Affiliations:
Links toward previous steps (curation, corpus...)
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Clarke</name></author><author><name sortKey="Salah, Zainab" sort="Salah, Zainab" uniqKey="Salah Z" first="Zainab" last="Salah">Zainab Salah</name></author><author><name sortKey="Shakya, Iju" sort="Shakya, Iju" uniqKey="Shakya I" first="Iju" last="Shakya">Iju Shakya</name></author><author><name sortKey="Thierry, Joann M" sort="Thierry, Joann M" uniqKey="Thierry J" first="Joann M" last="Thierry">Joann M. Thierry</name></author><author><name sortKey="Ali, Nida" sort="Ali, Nida" uniqKey="Ali N" first="Nida" last="Ali">Nida Ali</name></author><author><name sortKey="Mcmillan, Hannah" sort="Mcmillan, Hannah" uniqKey="Mcmillan H" first="Hannah" last="Mcmillan">Hannah Mcmillan</name></author><author><name sortKey="Wiley, Joshua F" sort="Wiley, Joshua F" uniqKey="Wiley J" first="Joshua F" last="Wiley">Joshua F. Wiley</name></author><author><name sortKey="Weaver, Matthew D" sort="Weaver, Matthew D" uniqKey="Weaver M" first="Matthew D" last="Weaver">Matthew D. Weaver</name></author><author><name sortKey="Czeisler, Charles A" sort="Czeisler, Charles A" uniqKey="Czeisler C" first="Charles A" last="Czeisler">Charles A. Czeisler</name></author><author><name sortKey="Rajaratnam, Shantha M W" sort="Rajaratnam, Shantha M W" uniqKey="Rajaratnam S" first="Shantha M W" last="Rajaratnam">Shantha M W. Rajaratnam</name></author><author><name sortKey="Howard, Mark E" sort="Howard, Mark E" uniqKey="Howard M" first="Mark E" last="Howard">Mark E. Howard</name></author></analytic><series><title level="j">MMWR. Morbidity and mortality weekly report</title><idno type="eISSN">1545-861X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (psychology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (psychology)</term><term>Time-to-Treatment (statistics & numerical data)</term><term>Treatment Refusal (statistics & numerical data)</term><term>United States (epidemiology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Délai jusqu'au traitement (statistiques et données numériques)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (psychologie)</term><term>Infections à coronavirus (épidémiologie)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (psychologie)</term><term>Pneumopathie virale (épidémiologie)</term><term>Refus du traitement (statistiques et données numériques)</term><term>Sujet âgé (MeSH)</term><term>États-Unis (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Time-to-Treatment</term><term>Treatment Refusal</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Délai jusqu'au traitement</term><term>Refus du traitement</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term><term>États-Unis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Pandémies</term><term>Sujet âgé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Temporary disruptions in routine and nonemergency medical care access and delivery have been observed during periods of considerable community transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1). However, medical care delay or avoidance might increase morbidity and mortality risk associated with treatable and preventable health conditions and might contribute to reported excess deaths directly or indirectly related to COVID-19 (2). To assess delay or avoidance of urgent or emergency and routine medical care because of concerns about COVID-19, a web-based survey was administered by Qualtrics, LLC, during June 24-30, 2020, to a nationwide representative sample of U.S. adults aged ≥18 years. Overall, an estimated 40.9% of U.S. adults have avoided medical care during the pandemic because of concerns about COVID-19, including 12.0% who avoided urgent or emergency care and 31.5% who avoided routine care. The estimated prevalence of urgent or emergency care avoidance was significantly higher among the following groups: unpaid caregivers for adults* versus noncaregivers (adjusted prevalence ratio [aPR] = 2.9); persons with two or more selected underlying medical conditions<sup>†</sup> versus those without those conditions (aPR = 1.9); persons with health insurance versus those without health insurance (aPR = 1.8); non-Hispanic Black (Black) adults (aPR = 1.6) and Hispanic or Latino (Hispanic) adults (aPR = 1.5) versus non-Hispanic White (White) adults; young adults aged 18-24 years versus adults aged 25-44 years (aPR = 1.5); and persons with disabilities<sup>§</sup> versus those without disabilities (aPR = 1.3). Given this widespread reporting of medical care avoidance because of COVID-19 concerns, especially among persons at increased risk for severe COVID-19, urgent efforts are warranted to ensure delivery of services that, if deferred, could result in patient harm. Even during the COVID-19 pandemic, persons experiencing a medical emergency should seek and be provided care without delay (3).</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32915166</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>15</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>25</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1545-861X</ISSN><JournalIssue CitedMedium="Internet"><Volume>69</Volume><Issue>36</Issue><PubDate><Year>2020</Year><Month>Sep</Month><Day>11</Day></PubDate></JournalIssue><Title>MMWR. Morbidity and mortality weekly report</Title><ISOAbbreviation>MMWR Morb Mortal Wkly Rep</ISOAbbreviation></Journal><ArticleTitle>Delay or Avoidance of Medical Care Because of COVID-19-Related Concerns - United States, June 2020.</ArticleTitle><Pagination><MedlinePgn>1250-1257</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.15585/mmwr.mm6936a4</ELocationID><Abstract><AbstractText>Temporary disruptions in routine and nonemergency medical care access and delivery have been observed during periods of considerable community transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1). However, medical care delay or avoidance might increase morbidity and mortality risk associated with treatable and preventable health conditions and might contribute to reported excess deaths directly or indirectly related to COVID-19 (2). To assess delay or avoidance of urgent or emergency and routine medical care because of concerns about COVID-19, a web-based survey was administered by Qualtrics, LLC, during June 24-30, 2020, to a nationwide representative sample of U.S. adults aged ≥18 years. Overall, an estimated 40.9% of U.S. adults have avoided medical care during the pandemic because of concerns about COVID-19, including 12.0% who avoided urgent or emergency care and 31.5% who avoided routine care. The estimated prevalence of urgent or emergency care avoidance was significantly higher among the following groups: unpaid caregivers for adults* versus noncaregivers (adjusted prevalence ratio [aPR] = 2.9); persons with two or more selected underlying medical conditions<sup>†</sup> versus those without those conditions (aPR = 1.9); persons with health insurance versus those without health insurance (aPR = 1.8); non-Hispanic Black (Black) adults (aPR = 1.6) and Hispanic or Latino (Hispanic) adults (aPR = 1.5) versus non-Hispanic White (White) adults; young adults aged 18-24 years versus adults aged 25-44 years (aPR = 1.5); and persons with disabilities<sup>§</sup> versus those without disabilities (aPR = 1.3). Given this widespread reporting of medical care avoidance because of COVID-19 concerns, especially among persons at increased risk for severe COVID-19, urgent efforts are warranted to ensure delivery of services that, if deferred, could result in patient harm. Even during the COVID-19 pandemic, persons experiencing a medical emergency should seek and be provided care without delay (3).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Czeisler</LastName><ForeName>Mark É</ForeName><Initials>MÉ</Initials></Author><Author ValidYN="Y"><LastName>Marynak</LastName><ForeName>Kristy</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Clarke</LastName><ForeName>Kristie E N</ForeName><Initials>KEN</Initials></Author><Author ValidYN="Y"><LastName>Salah</LastName><ForeName>Zainab</ForeName><Initials>Z</Initials></Author><Author ValidYN="Y"><LastName>Shakya</LastName><ForeName>Iju</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Thierry</LastName><ForeName>JoAnn M</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Ali</LastName><ForeName>Nida</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>McMillan</LastName><ForeName>Hannah</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Wiley</LastName><ForeName>Joshua F</ForeName><Initials>JF</Initials></Author><Author ValidYN="Y"><LastName>Weaver</LastName><ForeName>Matthew D</ForeName><Initials>MD</Initials></Author><Author ValidYN="Y"><LastName>Czeisler</LastName><ForeName>Charles A</ForeName><Initials>CA</Initials></Author><Author ValidYN="Y"><LastName>Rajaratnam</LastName><ForeName>Shantha M W</ForeName><Initials>SMW</Initials></Author><Author ValidYN="Y"><LastName>Howard</LastName><ForeName>Mark E</ForeName><Initials>ME</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>MMWR Morb Mortal Wkly Rep</MedlineTA><NlmUniqueID>7802429</NlmUniqueID><ISSNLinking>0149-2195</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061665" MajorTopicYN="N">Time-to-Treatment</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016312" MajorTopicYN="N">Treatment Refusal</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><CoiStatement>All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. Charles A. Czeisler reports an endowed professorship provided to Harvard Medical School by Cephalon, Inc. and educational and research support to Harvard Medical School and Brigham and Women’s Hospital from Philips Respironics, Inc. and Alexandra Drane, which supported in part the survey administration and analysis. Mark É. Czeisler reports a grant from the Australian-American Fulbright Commission. Mark E. Howard reports a grant from the Institute for Breathing and Sleep, Austin Health, Australia. Shantha M.W. Rajaratnam reports a grant from the Turner Institute for Brain and Mental Health, Monash University, Australia. Charles A. Czeisler, Joshua F. Wiley, Matthew D. Weaver, Mark É. Czeisler, Mark E. Howard, and Shantha M.W. Rajaratnam report contributions by Archangels for the screener used to determine unpaid caregiver status in the survey and a grant to Monash University from Whoop, Inc. that supported in part the administration of the survey in June. No other potential conflicts of interest were disclosed.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>11</Day><Hour>12</Hour><Minute>12</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32915166</ArticleId><ArticleId IdType="doi">10.15585/mmwr.mm6936a4</ArticleId><ArticleId IdType="pmc">PMC7499838</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>JAMA. 2020 Aug 4;324(5):510-513</Citation><ArticleIdList><ArticleId IdType="pubmed">32609307</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2020 Jul 17;69(28):923-929</Citation><ArticleIdList><ArticleId IdType="pubmed">32673298</ArticleId></ArticleIdList></Reference><Reference><Citation>Health Aff (Millwood). 2017 Dec;36(12):2115-2122</Citation><ArticleIdList><ArticleId IdType="pubmed">29200330</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2020 Jun 12;69(23):699-704</Citation><ArticleIdList><ArticleId IdType="pubmed">32525856</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2020 May 15;69(19):591-593</Citation><ArticleIdList><ArticleId IdType="pubmed">32407298</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2020 Jun 19;69(24):759-765</Citation><ArticleIdList><ArticleId IdType="pubmed">32555134</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2020 Jun 26;69(25):795-800</Citation><ArticleIdList><ArticleId IdType="pubmed">32584802</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Manag Care. 2020 Aug;26(8):327-328</Citation><ArticleIdList><ArticleId IdType="pubmed">32835458</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Ali, Nida" sort="Ali, Nida" uniqKey="Ali N" first="Nida" last="Ali">Nida Ali</name><name sortKey="Clarke, Kristie E N" sort="Clarke, Kristie E N" uniqKey="Clarke K" first="Kristie E N" last="Clarke">Kristie E N. Clarke</name><name sortKey="Czeisler, Charles A" sort="Czeisler, Charles A" uniqKey="Czeisler C" first="Charles A" last="Czeisler">Charles A. Czeisler</name><name sortKey="Czeisler, Mark E" sort="Czeisler, Mark E" uniqKey="Czeisler M" first="Mark É" last="Czeisler">Mark É Czeisler</name><name sortKey="Howard, Mark E" sort="Howard, Mark E" uniqKey="Howard M" first="Mark E" last="Howard">Mark E. Howard</name><name sortKey="Marynak, Kristy" sort="Marynak, Kristy" uniqKey="Marynak K" first="Kristy" last="Marynak">Kristy Marynak</name><name sortKey="Mcmillan, Hannah" sort="Mcmillan, Hannah" uniqKey="Mcmillan H" first="Hannah" last="Mcmillan">Hannah Mcmillan</name><name sortKey="Rajaratnam, Shantha M W" sort="Rajaratnam, Shantha M W" uniqKey="Rajaratnam S" first="Shantha M W" last="Rajaratnam">Shantha M W. Rajaratnam</name><name sortKey="Salah, Zainab" sort="Salah, Zainab" uniqKey="Salah Z" first="Zainab" last="Salah">Zainab Salah</name><name sortKey="Shakya, Iju" sort="Shakya, Iju" uniqKey="Shakya I" first="Iju" last="Shakya">Iju Shakya</name><name sortKey="Thierry, Joann M" sort="Thierry, Joann M" uniqKey="Thierry J" first="Joann M" last="Thierry">Joann M. Thierry</name><name sortKey="Weaver, Matthew D" sort="Weaver, Matthew D" uniqKey="Weaver M" first="Matthew D" last="Weaver">Matthew D. Weaver</name><name sortKey="Wiley, Joshua F" sort="Wiley, Joshua F" uniqKey="Wiley J" first="Joshua F" last="Wiley">Joshua F. Wiley</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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