Usage of personal music players in adolescents and its association with noise-induced hearing loss: A cross-sectional analysis of Ohrkan cohort study data.
Identifieur interne : 000933 ( Main/Exploration ); précédent : 000932; suivant : 000934Usage of personal music players in adolescents and its association with noise-induced hearing loss: A cross-sectional analysis of Ohrkan cohort study data.
Auteurs : Dorothee Twardella [Allemagne] ; Ulla Raab [Allemagne] ; Carmelo Perez-Alvarez [Allemagne] ; Thomas Steffens [Allemagne] ; Gabriele Bolte [Allemagne] ; Hermann Fromme [Allemagne]Source :
- International journal of audiology [ 1708-8186 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Allemagne (MeSH), Audiométrie (MeSH), Bruit (effets indésirables), Comportement de l'adolescent (MeSH), Comportement de réduction des risques (MeSH), Comportement en matière de santé (MeSH), Connaissances, attitudes et pratiques en santé (MeSH), Enquêtes et questionnaires (MeSH), Facteurs de risque (MeSH), Facteurs temps (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Lecteur MP3 (MeSH), Musique (MeSH), Mâle (MeSH), Ouïe (MeSH), Surdité due au bruit (physiopathologie), Surdité due au bruit (prévention et contrôle), Surdité due au bruit (psychologie), Surdité due au bruit (étiologie), Études transversales (MeSH).
- MESH :
- effets indésirables : Bruit.
- physiopathologie : Surdité due au bruit.
- prévention et contrôle : Surdité due au bruit.
- psychologie : Surdité due au bruit.
- étiologie : Surdité due au bruit.
- Adolescent, Allemagne, Audiométrie, Comportement de l'adolescent, Comportement de réduction des risques, Comportement en matière de santé, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Facteurs de risque, Facteurs temps, Femelle, Humains, Jeune adulte, Lecteur MP3, Musique, Mâle, Ouïe, Études transversales.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adolescent Behavior (MeSH), Audiometry (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Germany (MeSH), Health Behavior (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Hearing (MeSH), Hearing Loss, Noise-Induced (etiology), Hearing Loss, Noise-Induced (physiopathology), Hearing Loss, Noise-Induced (prevention & control), Hearing Loss, Noise-Induced (psychology), Humans (MeSH), MP3-Player (MeSH), Male (MeSH), Music (MeSH), Noise (adverse effects), Risk Factors (MeSH), Risk Reduction Behavior (MeSH), Surveys and Questionnaires (MeSH), Time Factors (MeSH), Young Adult (MeSH).
- MESH :
- adverse effects : Noise.
- etiology : Hearing Loss, Noise-Induced.
- physiopathology : Hearing Loss, Noise-Induced.
- prevention & control : Hearing Loss, Noise-Induced.
- psychology : Hearing Loss, Noise-Induced.
- Adolescent, Adolescent Behavior, Audiometry, Cross-Sectional Studies, Female, Germany, Health Behavior, Health Knowledge, Attitudes, Practice, Hearing, Humans, MP3-Player, Male, Music, Risk Factors, Risk Reduction Behavior, Surveys and Questionnaires, Time Factors, Young Adult.
Abstract
OBJECTIVE
To describe personal music player (PMP) usage among adolescents, sociodemographic determinants and association with audiometric notches.
DESIGN
Audiometric evaluation to assess hearing status, and standardized questionnaires to evaluate PMP listening behaviors, leisure noise exposures and self-reported hearing loss symptoms. Sociodemographic information was collected using a parent questionnaire. Noise exposure by PMP usage equivalent for a 40 h week was estimated based on self-reported volume and duration of use.
STUDY SAMPLE
A total of 2143 students (54% females) attending 9th grade in Regensburg, Germany, during 2009 to 2011.
RESULTS
Overall, 85% of the students reported using PMPs. Exposure level exceeded 80 dB(A) in approximately one third, and 85 dB(A) in one quarter, of those who used PMP. An audiometric notch was found in 2.3% of participants, but was not significantly associated with higher PMP exposure.
CONCLUSIONS
PMP exposure above the occupational limits of 80 and 85 dB(A) set by the Directive 2003/10/EC may be a risk factor for developing noise-induced hearing loss. Educational measures to ameliorate high risk behaviors in PMP usage are needed, particularly for socially disadvantaged groups.
DOI: 10.1080/14992027.2016.1211762
PubMed: 27686245
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>d Department of Otorhinolaryngology , University Hospital Regensburg , Regensburg </wicri:regionArea><wicri:noRegion>Regensburg </wicri:noRegion><wicri:noRegion>Regensburg </wicri:noRegion><wicri:noRegion>Regensburg </wicri:noRegion></affiliation></author><author><name sortKey="Steffens, Thomas" sort="Steffens, Thomas" uniqKey="Steffens T" first="Thomas" last="Steffens">Thomas Steffens</name><affiliation wicri:level="1"><nlm:affiliation>d Department of Otorhinolaryngology , University Hospital Regensburg , Regensburg , Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>d Department of Otorhinolaryngology , University Hospital Regensburg , Regensburg </wicri:regionArea><wicri:noRegion>Regensburg </wicri:noRegion><wicri:noRegion>Regensburg </wicri:noRegion><wicri:noRegion>Regensburg </wicri:noRegion></affiliation></author><author><name sortKey="Bolte, Gabriele" sort="Bolte, Gabriele" uniqKey="Bolte G" first="Gabriele" last="Bolte">Gabriele Bolte</name><affiliation wicri:level="1"><nlm:affiliation>a Department of Occupational and Environmental Medicine and Epidemiology , Bavarian Health and Food Safety Authority , Munich , Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>a Department of Occupational and Environmental Medicine and Epidemiology , Bavarian Health and Food Safety Authority , Munich </wicri:regionArea><wicri:noRegion>Munich </wicri:noRegion><wicri:noRegion>Munich </wicri:noRegion><wicri:noRegion>Munich </wicri:noRegion></affiliation><affiliation><nlm:affiliation>e Department of Social Epidemiology , University of Bremen, Institute of Public Health and Nursing Research , Bremen , Germany , and.</nlm:affiliation><wicri:noCountry code="subField">and</wicri:noCountry></affiliation></author><author><name sortKey="Fromme, Hermann" sort="Fromme, Hermann" uniqKey="Fromme H" first="Hermann" last="Fromme">Hermann Fromme</name><affiliation wicri:level="1"><nlm:affiliation>f Department of Toxicology and Chemical Safety , Bavarian Health and Food Safety Authority , Munich , Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>f Department of Toxicology and Chemical Safety , Bavarian Health and Food Safety Authority , Munich </wicri:regionArea><wicri:noRegion>Munich </wicri:noRegion><wicri:noRegion>Munich </wicri:noRegion><wicri:noRegion>Munich </wicri:noRegion></affiliation></author></analytic><series><title level="j">International journal of audiology</title><idno type="eISSN">1708-8186</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adolescent Behavior (MeSH)</term><term>Audiometry (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Germany (MeSH)</term><term>Health Behavior (MeSH)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Hearing (MeSH)</term><term>Hearing Loss, Noise-Induced (etiology)</term><term>Hearing Loss, Noise-Induced (physiopathology)</term><term>Hearing Loss, Noise-Induced (prevention & control)</term><term>Hearing Loss, Noise-Induced (psychology)</term><term>Humans (MeSH)</term><term>MP3-Player (MeSH)</term><term>Male (MeSH)</term><term>Music (MeSH)</term><term>Noise (adverse effects)</term><term>Risk Factors (MeSH)</term><term>Risk Reduction Behavior (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Time Factors (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Allemagne (MeSH)</term><term>Audiométrie (MeSH)</term><term>Bruit (effets indésirables)</term><term>Comportement de l'adolescent (MeSH)</term><term>Comportement de réduction des risques (MeSH)</term><term>Comportement en matière de santé (MeSH)</term><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Facteurs temps (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Lecteur MP3 (MeSH)</term><term>Musique (MeSH)</term><term>Mâle (MeSH)</term><term>Ouïe (MeSH)</term><term>Surdité due au bruit (physiopathologie)</term><term>Surdité due au bruit (prévention et contrôle)</term><term>Surdité due au bruit (psychologie)</term><term>Surdité due au bruit (étiologie)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Noise</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Bruit</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hearing Loss, Noise-Induced</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Surdité due au bruit</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hearing Loss, Noise-Induced</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Hearing Loss, Noise-Induced</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Surdité due au bruit</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Surdité due au bruit</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Hearing Loss, Noise-Induced</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Surdité due au bruit</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adolescent Behavior</term><term>Audiometry</term><term>Cross-Sectional Studies</term><term>Female</term><term>Germany</term><term>Health Behavior</term><term>Health Knowledge, Attitudes, Practice</term><term>Hearing</term><term>Humans</term><term>MP3-Player</term><term>Male</term><term>Music</term><term>Risk Factors</term><term>Risk Reduction Behavior</term><term>Surveys and Questionnaires</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Allemagne</term><term>Audiométrie</term><term>Comportement de l'adolescent</term><term>Comportement de réduction des risques</term><term>Comportement en matière de santé</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Lecteur MP3</term><term>Musique</term><term>Mâle</term><term>Ouïe</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To describe personal music player (PMP) usage among adolescents, sociodemographic determinants and association with audiometric notches.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Audiometric evaluation to assess hearing status, and standardized questionnaires to evaluate PMP listening behaviors, leisure noise exposures and self-reported hearing loss symptoms. Sociodemographic information was collected using a parent questionnaire. Noise exposure by PMP usage equivalent for a 40 h week was estimated based on self-reported volume and duration of use.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY SAMPLE</b></p><p>A total of 2143 students (54% females) attending 9th grade in Regensburg, Germany, during 2009 to 2011.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Overall, 85% of the students reported using PMPs. Exposure level exceeded 80 dB(A) in approximately one third, and 85 dB(A) in one quarter, of those who used PMP. An audiometric notch was found in 2.3% of participants, but was not significantly associated with higher PMP exposure.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>PMP exposure above the occupational limits of 80 and 85 dB(A) set by the Directive 2003/10/EC may be a risk factor for developing noise-induced hearing loss. Educational measures to ameliorate high risk behaviors in PMP usage are needed, particularly for socially disadvantaged groups.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27686245</PMID><DateCompleted><Year>2017</Year><Month>11</Month><Day>27</Day></DateCompleted><DateRevised><Year>2017</Year><Month>12</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1708-8186</ISSN><JournalIssue CitedMedium="Internet"><Volume>56</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>01</Month></PubDate></JournalIssue><Title>International journal of audiology</Title><ISOAbbreviation>Int J Audiol</ISOAbbreviation></Journal><ArticleTitle>Usage of personal music players in adolescents and its association with noise-induced hearing loss: A cross-sectional analysis of Ohrkan cohort study data.</ArticleTitle><Pagination><MedlinePgn>38-45</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE">To describe personal music player (PMP) usage among adolescents, sociodemographic determinants and association with audiometric notches.</AbstractText><AbstractText Label="DESIGN">Audiometric evaluation to assess hearing status, and standardized questionnaires to evaluate PMP listening behaviors, leisure noise exposures and self-reported hearing loss symptoms. Sociodemographic information was collected using a parent questionnaire. Noise exposure by PMP usage equivalent for a 40 h week was estimated based on self-reported volume and duration of use.</AbstractText><AbstractText Label="STUDY SAMPLE">A total of 2143 students (54% females) attending 9th grade in Regensburg, Germany, during 2009 to 2011.</AbstractText><AbstractText Label="RESULTS">Overall, 85% of the students reported using PMPs. Exposure level exceeded 80 dB(A) in approximately one third, and 85 dB(A) in one quarter, of those who used PMP. An audiometric notch was found in 2.3% of participants, but was not significantly associated with higher PMP exposure.</AbstractText><AbstractText Label="CONCLUSIONS">PMP exposure above the occupational limits of 80 and 85 dB(A) set by the Directive 2003/10/EC may be a risk factor for developing noise-induced hearing loss. Educational measures to ameliorate high risk behaviors in PMP usage are needed, particularly for socially disadvantaged groups.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Twardella</LastName><ForeName>Dorothee</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>a Department of Occupational and Environmental Medicine and Epidemiology , Bavarian Health and Food Safety Authority , Munich , Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>b Bavarian Health and Food Safety Authority , Centre for Early Cancer Detection and Cancer Registration , Nuremberg , Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Raab</LastName><ForeName>Ulla</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>a Department of Occupational and Environmental Medicine and Epidemiology , Bavarian Health and Food Safety Authority , Munich , Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>c Bavarian Health and Food Safety Authority , Centre of Prevention and Health Promotion , Munich , Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Perez-Alvarez</LastName><ForeName>Carmelo</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>d Department of Otorhinolaryngology , University Hospital Regensburg , Regensburg , Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Steffens</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>d Department of Otorhinolaryngology , University Hospital Regensburg , Regensburg , Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bolte</LastName><ForeName>Gabriele</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>a Department of Occupational and Environmental Medicine and Epidemiology , Bavarian Health and Food Safety Authority , Munich , Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>e Department of Social Epidemiology , University of Bremen, Institute of Public Health and Nursing Research , Bremen , Germany , and.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fromme</LastName><ForeName>Hermann</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>f Department of Toxicology and Chemical Safety , Bavarian Health and Food Safety Authority , Munich , Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>08</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Audiol</MedlineTA><NlmUniqueID>101140017</NlmUniqueID><ISSNLinking>1499-2027</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000294" MajorTopicYN="Y">Adolescent Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001299" MajorTopicYN="N">Audiometry</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015438" MajorTopicYN="Y">Health Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006309" MajorTopicYN="Y">Hearing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006317" MajorTopicYN="N">Hearing Loss, Noise-Induced</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055539" MajorTopicYN="Y">MP3-Player</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009146" MajorTopicYN="Y">Music</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009622" MajorTopicYN="N">Noise</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D040242" MajorTopicYN="N">Risk Reduction Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Noise</Keyword><Keyword MajorTopicYN="Y">behavioral measures</Keyword><Keyword MajorTopicYN="Y">demographics/epidemiology</Keyword><Keyword MajorTopicYN="Y">pediatric</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>10</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>11</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>10</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27686245</ArticleId><ArticleId IdType="doi">10.1080/14992027.2016.1211762</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country></list><tree><country name="Allemagne"><noRegion><name sortKey="Twardella, Dorothee" sort="Twardella, Dorothee" uniqKey="Twardella D" first="Dorothee" last="Twardella">Dorothee Twardella</name></noRegion><name sortKey="Bolte, Gabriele" sort="Bolte, Gabriele" uniqKey="Bolte G" first="Gabriele" last="Bolte">Gabriele Bolte</name><name sortKey="Fromme, Hermann" sort="Fromme, Hermann" uniqKey="Fromme H" first="Hermann" last="Fromme">Hermann Fromme</name><name sortKey="Perez Alvarez, Carmelo" sort="Perez Alvarez, Carmelo" uniqKey="Perez Alvarez C" first="Carmelo" last="Perez-Alvarez">Carmelo Perez-Alvarez</name><name sortKey="Raab, Ulla" sort="Raab, Ulla" uniqKey="Raab U" first="Ulla" last="Raab">Ulla Raab</name><name sortKey="Raab, Ulla" sort="Raab, Ulla" uniqKey="Raab U" first="Ulla" last="Raab">Ulla Raab</name><name sortKey="Steffens, Thomas" sort="Steffens, Thomas" uniqKey="Steffens T" first="Thomas" last="Steffens">Thomas Steffens</name><name sortKey="Twardella, Dorothee" sort="Twardella, Dorothee" uniqKey="Twardella D" first="Dorothee" last="Twardella">Dorothee Twardella</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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