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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Rheumatologists and the Colegio Mexicano de Reumatolog&#237;a &#40;Mexican College of Rheumatology-CMR&#41; have significant country-specific social connotations&#46; These terms connote individuals and groups&#44; what they do&#44; why they do it&#44; and where they are headed&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The CMR can be defined as a corporation&#44; and its owners are members who select the board that oversees the organization&#39;s activities&#46; A corporate brand describes an organization as a whole and aims to create a consistent corporate image through the interplay of corporate strategy&#44; business activity&#44; and brand stylistics&#46; The corporate brand addresses all influence and target groups&#44; including already-diagnosed rheumatic patients&#44; individuals with musculoskeletal complaints who seek medical attention&#44; policymakers&#44; health institutions&#44; the media&#44; and the pharmaceutical industry&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Internally&#44; the corporate brand embodies a set of values and takes on an orientation function for affiliates &#40;rheumatologists&#41;&#46; Rheumatologists&#8217; strong identification with brand values and brand-consistent actions make them important brand ambassadors who convey the idea of the corporation to potential and existing customers&#46; Externally&#44; a corporate identity and image represent how a corporation&#8212;in this case&#44; the CMR&#8212;presents itself to the public &#40;i&#46;e&#46;&#44; patients&#44; family members&#44; decision-makers&#44; the industry&#44; and the rheumatologists themselves&#41;&#46; The essential difference between corporate image and corporate identity is perspective&#58; whereas the image describes the subjective perception from the outside&#44; the corporate board specifically controls the identity&#44; which defines how corporate management wants the corporation to be perceived&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">1</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Corporate branding&#44; including its identity and image&#44; has gained more relevance in times of social uncertainty and overabundance&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">1</span></a> It creates added value that is fundamental for competing in markets that offer many products and services that many in society consider interchangeable &#40;e&#46;g&#46;&#44; rheumatologist consultation versus charlatanism and &#8220;magic&#8221; remedies or lay prescriptions&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">2&#44;3</span></a> Despite the need for a corporation to periodically investigate its identity and image to identify opportunities and gaps for improvement&#44;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">4&#44;5</span></a> we did not identify any such approach taken by the CMR&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">This study evaluated aspects of the CMR&#39;s image and corporate identity&#46; We evaluated corporate image by surveying healthy individuals about which definition &#40;rheumatology&#44; orthopedics&#44; or rehabilitation&#41; has the greatest resonance when seeking adequate care for arthritis or chronic pain in the hands or knees&#46; We evaluated corporate identity by analyzing the CMR&#39;s website using a discourse analysis approach and commonly used readability indexes&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Subjects and methods</span><p id="par0030" class="elsevierStylePara elsevierViewall">This study adopts a cross-sectional&#44; proof-of-concept design and was conducted in Guadalajara&#44; Mexico&#44; during the period from May to July 2023&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Evaluation of the corporate image</span><p id="par0035" class="elsevierStylePara elsevierViewall">The assessment of a specific aspect of the corporate image was through a survey in Spanish &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41; that aimed to determine which definition &#8211; that of the orthopedist&#44; the rheumatologist&#44; or the rehabilitator &#8211; is most meaningful to respondents in the context of four different scenarios&#46; We used the orthopedist definition in Spanish provided by the American Academy Orthopaedic Surgeons&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">6</span></a> The rheumatologist&#39;s definition was provided by the CMR&#44;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">7</span></a> and the definition of a rehabilitator was provided in Spanish by the Mayo Clinic&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">8</span></a> The first posed scenario was chronic hand pain&#44; the second was about chronic knee pain&#44; and the third was about arthritis in the hands&#46; In a fourth question&#44; they were asked to choose one of the three definitions that best define the rheumatology specialist &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">The order of options for each studied question was randomized to reduce order bias&#44; including primacy and recency biases&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">9</span></a> All responses were treated as nominal variables&#46; Additionally&#44; to minimize survey fatigue&#44; the structured survey comprised only nine questions&#58; four studied questions&#44; one exploratory question&#44; and four demographic inquiries&#46; The exploratory question was about the perceived influencers or mavens when about to seek medical consultation by asking respondents&#58; If you had arthritis&#44; who would you ask who to go to&#63;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Sample characteristics</span><p id="par0045" class="elsevierStylePara elsevierViewall">We surveyed four independent samples to optimize resources and compensate for the absence of reference data in our proof-of-concept study&#46; The first three were non-random samples drawn from the family and friends of three medical students during the same week&#46; Invitations were extended to individuals 18 or older and with at least elementary-level schooling&#46; The invited individuals resided in the metropolitan area of Guadalajara and the surrounding small towns&#46; The invitations were delivered through WhatsApp and were accompanied by a link to Google Forms&#46; A response window of 11 days was provided&#46; Using the Central Limit Theorem for proportions&#44; we determined that gathering 100 cases for each sample would yield information with a normal distribution&#46; The fourth sample was assessed two months later utilizing the services of a polling firm&#46; This sample was gathered through simple&#44; on-street&#44; random interviews conducted in the metropolitan area of Guadalajara from 7 to 11 July 2023&#46; The participants were 18 or older&#44; and we ensured that half of the respondents were women&#46; A minimum of 350 respondents were included in the sample to achieve a reliability level greater than 90&#37; and an error margin of 5&#37;&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Evaluating the corporate identity</span><p id="par0050" class="elsevierStylePara elsevierViewall">We assess the CMR&#39;s corporate identity using discourse analysis and a readability assessment from the CMR website&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">10</span></a> Discourse analysis is a qualitative research method used to study written &#40;or spoken&#41; language in the context of its social surroundings&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">11</span></a> By analyzing the CMR website&#39;s written content&#44; linguistic patterns&#44; and the framing of information&#44; we aimed to have insights into the CMR&#39;s identity projection and its engagement with its target audience&#46; This approach offers a comprehensive perspective on how the CMR shapes its image and message&#44; contributing to a better understanding of its overall corporate communication strategy&#46; This analysis was performed by a trained expert &#40;A V-A&#41; unaware at the time of the aims and results of the surveys&#46; The detailed methods and results are in <a class="elsevierStyleCrossRef" href="#sec0105">Supplementary file 1</a>&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">For the readability assessment&#44; we used five readability indices for Spanish text&#58; Lecturabilidad de Fern&#225;ndez Huerta&#44; Comprensibilidad de Guti&#233;rrez de Polini&#44; &#205;ndice de perspicuidad de Szigriszt-Pazos&#44; Escala INFLESZ&#44; and Legibilidad &#956; de Mu&#241;oz y Mu&#241;oz&#46; Each index provides an approximation for the difficulty of the text and has been used to evaluate and improve the clarity of a written communication &#91;reviewed in <a class="elsevierStyleCrossRef" href="#bib0180">11</a>&#93;&#46; The analysis used a devoted website<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">12</span></a> with algorithms written in Python for each of the six indices&#46; Each index scores from 0 to 100&#44; where 100 is a very easy-to-read text&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Ethical considerations</span><p id="par0060" class="elsevierStylePara elsevierViewall">This work did not include any experimentation with humans or animals&#46; The first three samples were made through WhatsApp from each student&#39;s contacts&#46; There was no addition of any new contacts for this study&#44; and each student invited only their own contact list&#46; The invitation to answer a questionnaire was generic and included a link to Google Forms&#46; The questionnaire did not record the respondent&#39;s telephone number or any other sensitive information&#46; The fourth survey was anonymized to the general population&#46; The information collected did not contain sensitive data and did not allow the identification of any particular individual&#46; Therefore&#44; the study did not require evaluation by an ethics committee&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Statistical analysis</span><p id="par0065" class="elsevierStylePara elsevierViewall">We hypothesized that at least 60&#37; of respondents would select the rheumatology definition for each scenario&#46; The analysis relied on four underlying assumptions&#46; First&#44; each of the four samples was considered independent&#44; and no effort was made to control for potential confounders or biases&#44; thus limiting the ability to determine the validity&#44; reliability&#44; and generalizability of the findings&#46; Second&#44; each convenience sample complements the others&#46; We further reported frequency distribution tables for the total surveyed population&#46; Third&#44; as all variables were nominal&#44; the differences were assessed using the Pearson Chi-square test &#40;<span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span>&#41; to evaluate independence&#46; We use Phi or Cram&#233;r&#39;s <span class="elsevierStyleItalic">V</span> to determine association strength&#46; Confidence intervals for proportions were calculated at a 95&#37; level&#44; and the two-tailed significance level was set at <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#46; Fourth&#44; we added an estimate of the distance between specialties by dividing the rheumatology proportion for each scenario by the corresponding proportion for orthopedics and rehabilitation&#46; Therefore&#44; for every rheumatologist chosen&#44; an estimated n number of orthopedists and an n number of rehabilitators were chosen&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Results</span><p id="par0070" class="elsevierStylePara elsevierViewall">All of the invited individuals agreed to participate&#44; resulting in 712 respondents&#46; However&#44; 12 were further &#40;six respondents were under 18 years old&#44; and six did not report their schooling status&#41;&#46; Therefore&#44; our analysis included 700 completed surveys&#46; <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> presents the respondents&#8217; demographics overall and by sample&#46; The proportions of men and women were similar in all of the samples&#46; Although the samples significantly differed in age distribution and education&#44; the cumulative data across the four samples indicated that most respondents were under 40 years of age and had more than 12 years of schooling&#46; Seventeen percent of respondents reported having a &#8220;rheumatic issue&#44;&#8221; although the survey&#39;s characteristics prevented a specific diagnosis&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Corporate image</span><p id="par0075" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a> and <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a> show the frequency distribution of responses across scenarios and samples&#46; In the hand scenario&#44; the frequencies were similar among the four samples&#44; with a slight preference for orthopedics&#46; However&#44; orthopedics emerged as the most preferred choice in the knee scenario despite significant differences among samples&#46; The arthritis scenario displayed significant preference differences among samples&#44; with a slightly higher selection frequency for rheumatology&#46; When defining a rheumatologist&#44; the differences among samples were also significant&#44; with orthopedics and rheumatology preferences nearly equal&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a> provides a visual representation of the distances between specialties&#46; On average&#44; respondents opted for 1&#46;13 orthopedists and 0&#46;70 rehabilitators in the hand scenario for each rheumatologist chosen&#46; In the knee scenario&#44; respondents chose 2&#46;36 orthopedists and 0&#46;64 rehabilitation specialists&#44; whereas a preference for 0&#46;85 orthopedists and 0&#46;58 rehabilitators was observed in the arthritis scenario&#46; Finally&#44; 1&#46;0 orthopedists and 0&#46;67 rehabilitators were selected for each rheumatologist when defining a rheumatologist&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">Age was associated with the choice of a specialist in the hand scenario&#46; The youngest age group &#40;i&#46;e&#46;&#44; ages 18&#8211;30 years&#41; preferred orthopedists over rheumatologists &#40;50&#46;0&#37; vs&#46; 31&#46;2&#37;&#41;&#44; and the 41&#8211;50-year age group more frequently chose the rheumatologist over the orthopedist &#40;45&#46;8&#37; vs&#46; 34&#46;7&#37;&#44; <span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#44; DF<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;009&#59; Phi<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;156&#41;&#46; Age was also associated with the choice of definition of rheumatology&#46; The 31&#8211;40-year age group preferred rheumatology &#40;45&#46;1&#37;&#41; or orthopedics &#40;40&#46;7&#37;&#41; rather than rehabilitation &#40;14&#46;3&#37;&#59; <span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>18&#46;6&#44; DF<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;005&#41;&#46; Age was not associated with specialty in the knee &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;263&#41; or arthritis &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;769&#41; scenarios&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Schooling was significantly associated with a preference for a specialist in the arthritis scenario&#46; As schooling progressed&#44; the choice of rheumatology increased from 27&#46;3&#37; for those in primary school to 29&#46;4&#37;&#44; 38&#46;5&#37;&#44; and 49&#46;4&#37; for those in secondary school&#44; high school&#44; and university&#44; respectively &#40;<span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>27&#44; DF<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#44; Crem&#233;r&#39;s <span class="elsevierStyleItalic">V</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;13&#41;&#46; Schooling was also significantly associated with the choice of definition of rheumatology&#46; Respondents with middle &#40;28&#46;4&#37;&#41; and high schooling &#40;27&#46;0&#37;&#41; chose the CMR&#39;s definition less frequently than individuals with elementary &#40;34&#46;5&#37;&#41; and university &#40;46&#46;4&#37;&#41; &#40;<span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>26&#46;9&#44; DF<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#44; Crem&#233;r&#39;s <span class="elsevierStyleItalic">V</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>13&#41;&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Sex was not significantly associated with the specialist selection in the hand &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;4&#41;&#44; knee &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;6&#41;&#44; arthritis &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;4&#41;&#44; and rheumatologist definition &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;1&#41; scenarios&#46; We observed no association between education and preference for a specialist in the hand &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;2&#41; or knee &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;6&#41; scenarios&#46; Self-reported rheumatic issues were not associated with the chosen specialist in any of the scenarios&#58; hand &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;6&#41;&#44; knee &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;2&#41;&#44; arthritis &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;8&#41;&#44; or rheumatologist definition &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;5&#41;&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Influencers</span><p id="par0100" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a> shows the results of the exploratory question about who would be asked which doctor to go to&#46; Although responses differed significantly among samples&#44; the mother figure was the most frequently mentioned in each sample&#46; Men preferred mother&#44; father&#44; and doctor &#40;37&#37;&#44; 15&#37;&#44; and 15&#37;&#44; respectively&#41;&#44; while women preferred mother &#40;41&#46;1&#37;&#41;&#44; doctor &#40;15&#46;5&#37;&#41;&#44; and friend &#40;10&#46;4&#37;&#41; &#40;<span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>28&#46;7&#44; DF<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; Age was associated&#44; as expected&#44; since 52&#37; of the young group mentioned their mother &#40;52&#37;&#41;&#44; but just 14&#46;7&#37; of the older group did it&#46; On the contrary&#44; the older group preferred son&#47;daughter &#40;76&#46;5&#37;&#41; &#40;<span class="elsevierStyleItalic">&#967;</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>158&#46;7&#44; DF<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>24&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; The influencer was not associated with the scenarios&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Corporate identity</span><p id="par0105" class="elsevierStylePara elsevierViewall">The full results of the discourse analysis are included in <a class="elsevierStyleCrossRef" href="#sec0105">Supplementary file 1</a>&#46; The analysis showed that the enunciation of the CMR website was discursively positioned as a collective &#8220;we&#8221; that referred to rheumatology specialists and particularly to &#8220;colleagues&#44;&#8221; and the patient appears as a &#8220;necessary actor&#8221; within the medical social practice&#46; Although the patient is presented as a potential recipient &#40;addressee&#41;&#44; they are never treated as interlocutor&#46; Still&#44; the patient has no agentive representation &#40;i&#46;e&#46;&#44; no possibility of intervention in their diagnosis and healing process&#41;&#46; Specifically&#44; the physical &#8220;patient&#8221; was also discursive&#58; they talk about the patient&#44; but the patient is not allowed to act&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">13</span></a> The semiotic structure of the CMR&#39;s mission and vision is imprecise and lacks a statement of values and purpose&#46; The overall readability scores corresponded to very difficult and arid text&#46; Specifically&#44; the scores for the Lecturabilidad de Fern&#225;ndez Huerta&#44; the Comprensibilidad de Guti&#233;rrez de Polini&#44; the &#205;ndice de perspicuidad de Szigriszt-Pazos&#44; the Escala INFLESZ&#44; and the Legibilidad &#956; de Mu&#241;oz y Mu&#241;oz were 26&#44; 29&#44; 21&#44; 21&#44; and 42&#44; respectively&#46;</p></span></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Discussion</span><p id="par0110" class="elsevierStylePara elsevierViewall">The significance of rheumatologists and the CMR cannot be understated&#44; given the substantial market value at stake&#46; To illustrate&#44; roughly 900 rheumatologists&#44; along with the CMR&#44; play a pivotal role in serving a population exceeding 15 million individuals with musculoskeletal disorders in Mexico&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">14</span></a> Furthermore&#44; in 2020&#44; the Mexican market for antirheumatic drugs was valued at US&#36;6&#46;3 billion&#44; with a compound annual growth rate of 2&#46;2&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">15</span></a></p><p id="par0115" class="elsevierStylePara elsevierViewall">Rheumatologists have united under the banner of the CMR to represent their profession&#46; Therefore&#44; what it is in a name must be considered in fostering cohesion&#44; achieving desired outcomes&#44; and forging a reputation&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">16</span></a> It is advised that corporations periodically investigate their brand&#39;s identity and image&#44; especially in rapidly changing and evolving times&#44; to identify opportunities and gaps for improvement&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">4&#44;5</span></a> We did not find any publication on it&#44; so we carried out this study&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">We identified that CMR&#39;s corporate image did not effectively distinguish rheumatologists from orthopedists or rehabilitation specialists&#44; even when the term &#8220;arthritis&#8221; was employed&#46; Regardless of the scenario presented&#44; six out of 10 respondents did not select a rheumatologist for chronic pain assessment&#46; Although we provided definitions for only orthopedists and rehabilitators&#44; these findings have substantial implications in a growing youth-driven country in which multiple health services are disconnected from one another&#46; In such settings&#44; the onus of choosing a healthcare provider falls squarely on the patients&#44; whose options range from charlatans and those dispensing non-conventional remedies to generalists to laypeople and rheumatologists&#44; with little distinction among them&#46;<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">2&#44;3&#44;17&#44;18</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">Notably&#44; as many respondents perceived mothers as the first to ask for advice on which doctor to see if they had arthritis-related problems&#44; targeting the &#8220;mother figure&#8221; warrants further consideration when planning awareness campaigns&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Our findings about CMR&#39;s corporate identity also revealed areas for reflection&#46; The CMR website appears to be oriented toward peers &#40;&#8220;compa&#241;eros&#8221;&#41;&#44; positioning patients as discursive actors but seemingly disconnected from the core construct of CMR&#46; The readability scores indicated that the text was highly challenging and dense&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Assigning value judgments&#8212;from correct to discordant&#8212;regarding CMR&#39;s identity and image relies on its brand characteristics and the role that CMR aims to play vis-a-vis its diverse stakeholders&#46; This role should be explicitly articulated on its website&#46; For instance&#44; the British Society for Rheumatology places a strong emphasis on patient-centered care&#44;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">19</span></a> EULAR fosters the Emerging EULAR Network &#40;EMEUNET&#41;&#44; which caters to young rheumatologists&#44;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">20</span></a> and the American College of Rheumatology centers its focus on rheumatology professionals&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">21</span></a> Contrarily&#44; the semiotic structure of CMR&#39;s declared mission and vision is imprecise and lacks statements regarding core values and purposes&#46; Readers may benefit from reviewing the several exemplary mission statements of Fortune 500 companies&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">22</span></a></p><p id="par0140" class="elsevierStylePara elsevierViewall">This study has several limitations&#46; First&#44; the study suffers from the inherent constraints of a proof-of-concept approach&#44; which assesses the presence but not the frequency or magnitude of a phenomenon in the absence of factual information&#46; annoSecond&#44; our study reports only on some functional aspects of corporate image and identity&#44; but not others&#46; A comprehensive evaluation is crucial and would necessitate the corporation&#39;s active involvement&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">4&#44;5</span></a> Third&#44; we in no way evaluate any of the academic activities or performance of actual or past CMR boards&#46; Fourth&#44; given the proof-of-concept nature of our study&#44; the generalizability of our results is confined to our specific sample of non-random respondents from the country&#39;s Western region&#59; we do not claim representativeness&#46; Nonetheless&#44; the consistency of results across diverse samples could be considered a strength as it indicates a trend&#46; Fifth&#44; we selected orthopedics and rehabilitation as comparators given their perceived similarity to rheumatology&#44; allowing us to assess whether individuals differentiate between these &#8220;services&#8221; or &#8220;products&#8221;&#46; Although the consideration was intriguing&#44; we chose to exclude providers of unconventional remedies as it would have introduced cultural and belief-related factors as confounders&#46; Sixth&#44; our study did not ascertain whether the features assessed represent the core of the CMR or are merely aspects of its communication approach&#46; Seventh&#44; although the discourse analysis was performed by a researcher external to rheumatology and experienced in this type of analysis &#40;AV-A&#41;&#44; this approach is qualitative and based on a single text &#40;the website&#41;&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Conclusions</span><p id="par0145" class="elsevierStylePara elsevierViewall">Despite the limited available evidence&#44;<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">23&#8211;25</span></a> we assert that rheumatologists are better at caring for rheumatic patients than other providers&#46; Indeed&#44; the significance of rheumatologists to a nation is evident when considering the prevalence of rheumatic conditions&#44; the indirect costs associated with these diseases&#44; and the potential and ever-present possibility of preventable disability&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Therefore&#44; to serve well&#44; national corporations representing rheumatologists&#44; such as the CMR&#44; must have clear and consistent manifestos about who they are&#44; what they represent&#44; what they are for&#44; their ethical principles&#44; and where they are heading&#46; These manifestos are mission&#44; vision&#44; purpose&#44; core values&#44; and social responsibility statements&#46; These statements govern the corporation within &#40;identity&#41; and for society &#40;image&#41; and allow the differentiation of other services and products&#46; However&#44; the CMR website lacks some of these statements&#44; and the existing ones require refinement&#46; CMR&#39;s owners are responsible for determining the relevance of our results and&#44; in turn&#44; calling for a consensus that would define whether CMR&#39;s objectives and statements are according to contemporary times or need to evolve&#46; After all&#44; the CMR operates in a country that boasts the largest population of Spanish speakers&#44; ranks fourteen in geographical size&#44; tenth in population size&#44; fifteenth in nominal gross domestic product&#44; and eleventh in purchasing power parity globally&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Authors&#8217; contributions</span><p id="par0155" class="elsevierStylePara elsevierViewall">Each author participates in the study conception and design&#44; data collection&#44; analysis and interpretation of results&#44; and manuscript preparation&#46;</p></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Availability of data and material &#40;data transparency&#41;</span><p id="par0170" class="elsevierStylePara elsevierViewall">Data available upon request&#46;</p></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Statement of generative AI and AI-assisted technologies in the writing process</span><p id="par0175" class="elsevierStylePara elsevierViewall">We used a large language model &#40;Grammarly&#46; <a href="https://app.grammarly.com/">https&#58;&#47;&#47;app&#46;grammarly&#46;com&#47;</a>&#41; solely to check spelling and grammar&#46;</p></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Funding</span><p id="par0180" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public&#44; commercial&#44; or non-for-profit sectors&#46;</p></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Conflict of interest</span><p id="par0185" class="elsevierStylePara elsevierViewall">None&#46;</p></span></span>"
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          "clase" => "abr"
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          "identificador" => "xpalclavsec1846916"
          "palabras" => array:1 [
            0 => "CMR"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec1846917"
          "palabras" => array:6 [
            0 => "An&#225;lisis de sistemas"
            1 => "Reumatolog&#237;a"
            2 => "Imagen corporativa"
            3 => "Identidad corporativa"
            4 => "Colegio Mexicano de Reumatolog&#237;a"
            5 => "Mercadotecnia Social"
          ]
        ]
      ]
    ]
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    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction and objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The Colegio Mexicano de Reumatolog&#237;a &#40;CMR&#41; is a corporation whose brand has two elements&#8212;image and identity&#8212;that differentiate it from other corporations&#46; We evaluated aspects of CMR&#39;s corporate image and identity&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Subjects and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">To assess corporate image&#44; we designed a survey using proof-of-concept and discrete-choice-experiments approaches&#46; It assessed which definition &#40;orthopedist&#44; rheumatologist&#44; or rehabilitator&#41; was most meaningful in four pain scenarios in healthy adults from the country&#39;s Western region&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We used discourse analysis and five readability indices of the CMR website to assess corporate identity&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In total&#44; 700 respondents were included&#46; For every rheumatologist chosen in the hand scenario&#44; respondents chose 1&#46;13 orthopedists and 0&#46;70 rehabilitators&#46; For every rheumatologist chosen in the knee scenario&#44; respondents chose 2&#46;36 orthopedists and 0&#46;64 rehabilitators&#44; whereas 0&#46;85 orthopedists and 0&#46;58 rehabilitators were chosen in the arthritis scenario&#46; Only 38&#37; of the respondents preferred the CMR&#39;s definition of a rheumatologist to describe a rheumatologist&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The younger age group preferred orthopedists to rheumatologists &#40;50&#37; vs&#46; 31&#37;&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; In the arthritis scenario&#44; the choice of rheumatologist increased from 27&#37; in the elementary school group to 49&#37; in the university group &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; Mother was the most influential in healthcare seeking&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The discursive analysis revealed that the CMR is positioned as a &#8220;we&#8221; restricted to &#8220;colleagues&#59;&#8221; the patient did not have agentive representation&#46; The semiotic structure of the CMR&#39;s mission&#47;vision was deemed imprecise and lacking in statements of value and purpose&#59; the readability scores indicated that the text was challenging and dry&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The CMR&#39;s corporate image does not differentiate it from other health providers&#46; CMR&#39;s identity seems ambiguous with restricted directionality&#46; It seems pertinent to redefine the CMR&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Introduction and objectives"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Subjects and methods"
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          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Results"
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          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusions"
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      "es" => array:3 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducci&#243;n y objetivos</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El Colegio Mexicano de Reumatolog&#237;a &#40;CMR&#41; es una corporaci&#243;n cuya marca tiene dos elementos &#40;imagen e identidad&#41; que la diferencian de otras entidades&#46; El objetivo del estudio es evaluar los aspectos de la imagen e identidad corporativa del CMR&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Sujetos y m&#233;todos</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Para valorar la imagen corporativa&#44; dise&#241;amos una encuesta utilizando enfoques de prueba de concepto y experimentos de elecci&#243;n discreta&#46; Se evalu&#243; cu&#225;l definici&#243;n &#40;ortopedista&#44; reumat&#243;logo o rehabilitador&#41; era m&#225;s significativa en cuatro escenarios de dolor en adultos sanos de la regi&#243;n occidente del pa&#237;s&#46; Utilizamos an&#225;lisis del discurso y cinco &#237;ndices de legibilidad del sitio web de CMR para evaluar la identidad corporativa&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron 700 encuestados&#46; Por cada reumat&#243;logo elegido en el escenario de la mano&#44; los participantes escogieron 1&#44;13 ortopedistas y 0&#44;7 rehabilitadores&#46; Por cada reumat&#243;logo en el caso de rodilla&#44; eligieron 2&#44;36 ortopedistas y 0&#44;64 rehabilitadores&#44; mientras que en el de artritis se seleccionaron 0&#44;85 ortopedistas y 0&#44;58 rehabilitadores&#46; Solo 38&#37; de los encuestados prefiri&#243; la definici&#243;n de reumat&#243;logo del CMR para describir a un reumat&#243;logo&#46; El grupo de edad m&#225;s joven prefiri&#243; ortopedistas que reumat&#243;logos &#40;50 vs&#46; 31&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; La figura materna fue identificada como la m&#225;s influyente para las decisiones sanitarias&#46; El an&#225;lisis del discurso revel&#243; que el CMR se posiciona como un &#171;nosotros&#187; restringido a los &#171;colegas&#187;&#59; el paciente no tuvo representaci&#243;n agente&#46; La estructura semi&#243;tica de la misi&#243;n&#47;visi&#243;n es imprecisa&#44; faltando declaraciones de valor y prop&#243;sito&#46; Las puntuaciones de legibilidad indicaron texto dif&#237;cil y &#225;rido&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">La imagen corporativa del CMR no lo diferencia de otros servicios de salud&#46; Su identidad es ambigua con una direccionalidad restringida&#46; Parece pertinente redefinir el CMR&#46;</p></span>"
        "secciones" => array:4 [
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            "identificador" => "abst0025"
            "titulo" => "Introducci&#243;n y objetivos"
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            "identificador" => "abst0030"
            "titulo" => "Sujetos y m&#233;todos"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclusiones"
          ]
        ]
      ]
    ]
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      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0200" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0105"
          ]
        ]
      ]
    ]
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      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
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        "descripcion" => array:1 [
          "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Visual representation of the distances between specialties&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
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        "descripcion" => array:1 [
          "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Frequency distribution of responses across scenarios and samples&#46;</p>"
        ]
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        "identificador" => "tbl0005"
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        "tipo" => "MULTIMEDIATABLA"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\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">Hola &#191;me ayudas a contestar estas preguntas&#63; Queremos conocer tu opini&#243;n sobre qu&#233; especialista ser&#237;a mejor que te atendiera&#46; Tu opini&#243;n nos ayuda para saber qu&#233; definiciones te hacen m&#225;s sentido&#46; No hay respuestas correctas&#44; nos interesa tu opini&#243;n&#46; Tus respuestas son an&#243;nimas y confidenciales&#46;&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"><span class="elsevierStyleBold">1&#46; Te anoto 3 definiciones de doctores&#46; Si tuvieras dolor en las coyunturas de las manos por m&#225;s de 2 meses&#44; &#191;con cu&#225;l de ellos te atender&#237;as&#63; &#40;selecciona solo una respuesta&#41;</span>&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista que se encarga de diagnosticar y tratar las enfermedades musculoesquel&#233;ticas y autoinmunes sist&#233;micas&#46;&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista dedicado al diagn&#243;stico&#44; tratamiento&#44; rehabilitaci&#243;n y prevenci&#243;n de lesiones y enfermedades que afectan al sistema m&#250;sculo-esquel&#233;tico de su cuerpo&#46;&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista que diagnostica y trata una variedad de enfermedades que afectan al cerebro&#44; la m&#233;dula espinal&#44; los nervios y el sistema musculoesquel&#233;tico&#46;&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"><span class="elsevierStyleBold">2&#46; Te anoto 3 definiciones de doctores&#46; Si tuvieras dolor en las rodillas por m&#225;s de 2 meses&#44; &#191;con cu&#225;l de ellos te atender&#237;as&#63; &#40;selecciona solo una respuesta&#41;</span>&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista que diagnostica y trata una variedad de enfermedades que afectan al cerebro&#44; la m&#233;dula espinal&#44; los nervios y el sistema musculoesquel&#233;tico&#46;&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista dedicado al diagn&#243;stico&#44; tratamiento&#44; rehabilitaci&#243;n y prevenci&#243;n de lesiones y enfermedades que afectan al sistema m&#250;sculo-esquel&#233;tico de su cuerpo&#46;&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista que se encarga de diagnosticar y tratar las enfermedades musculoesquel&#233;ticas y autoinmunes sist&#233;micas&#46;&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"><span class="elsevierStyleBold">3&#46; Si tuvieras artritis en las manos &#191;con qui&#233;n ir&#237;as&#63;</span>&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista que se encarga de diagnosticar y tratar las enfermedades musculoesquel&#233;ticas y autoinmunes sist&#233;micas&#46;&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista que diagnostica y trata una variedad de enfermedades que afectan al cerebro&#44; la m&#233;dula espinal&#44; los nervios y el sistema musculoesquel&#233;tico&#46;&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista dedicado al diagn&#243;stico&#44; tratamiento&#44; rehabilitaci&#243;n y prevenci&#243;n de lesiones y enfermedades que afectan al sistema m&#250;sculo-esquel&#233;tico de su cuerpo&#46;&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"><span class="elsevierStyleBold">4&#46; &#191;Cu&#225;l de estas definiciones queda mejor para un especialista en reumatolog&#237;a&#63;</span>&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista dedicado al diagn&#243;stico&#44; tratamiento&#44; rehabilitaci&#243;n y prevenci&#243;n de lesiones y enfermedades que afectan al sistema m&#250;sculo-esquel&#233;tico de su cuerpo&#46;&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista que se encarga de diagnosticar y tratar las enfermedades musculoesquel&#233;ticas y autoinmunes sist&#233;micas&#46;&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Especialista que diagnostica y trata una variedad de enfermedades que afectan al cerebro&#44; la m&#233;dula espinal&#44; los nervios y el sistema musculoesquel&#233;tico&#46;&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"><span class="elsevierStyleBold">5&#46; Si tuvieras artritis &#191;a qui&#233;n le preguntar&#237;as con qui&#233;n ir&#63;</span>&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Madre&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Padre&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Hermano&#47;a&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Hijo&#47;a&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Amigo&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"><span class="elsevierStyleHsp" style=""></span>&#8226; Otra&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"><span class="elsevierStyleBold">6&#46; Sexo</span>&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>&#8226; Hombre&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>&#8226; Mujer&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>&#8226; Prefiero no contestar&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleBold">7&#46; &#191;En qu&#233; grupo de edad est&#225;s&#63;</span>&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>&#8226; &#60;18 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \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\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>&#8226; 41&#8211;50&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"><span class="elsevierStyleHsp" style=""></span>&#8226; 51&#8211;60&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>&#8226; &#62;60&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleBold">8&#46; &#191;Hasta qu&#233; nivel de escuela terminaste o qu&#233; nivel estudias actualmente&#63;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8226; Secundaria&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8226; Carretera universitaria&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"><span class="elsevierStyleBold">9&#46; &#191;Padeces alg&#250;n problema reum&#225;tico&#63;</span>&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>&#8226; Si&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>&#8226; No&nbsp;\t\t\t\t\t\t\n
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                  \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">&#161;Muchas gracias por contestar la encuesta&#33;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">177 &#40;45&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#62;0&#46;09&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Female&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Age group&#44; n &#40;&#37;&#41;</span></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"><span class="elsevierStyleHsp" style=""></span>18&#8211;30&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \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</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#60;0&#46;001<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#64;</span></a>&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"><span class="elsevierStyleHsp" style=""></span>31&#8211;40&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\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">182 &#40;26&#41; &#40;23&#8211;29&#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
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                  \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"><span class="elsevierStyleHsp" style=""></span>41&#8211;50&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="char" valign="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">118&#40;17&#41; &#40;14&#8211;20&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="7" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Schooling&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Grade 6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;0&#46;001<a class="elsevierStyleCrossRef" href="#tblfn0015">&#42;</a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Grades 7&#8211;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Grades 10&#8211;12&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">200 &#40;29&#41; &#40;25&#8211;32&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="7" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Rheumatic issues&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t">119 &#40;17&#41; &#40;14&#8211;20&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;001<a class="elsevierStyleCrossRef" href="#tblfn0020">&#42;&#42;</a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">95 &#40;89&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">313 &#40;80&#41;&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">581 &#40;83&#41; &#40;80&#8211;85&#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">&nbsp;\t\t\t\t\t\t\n
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                  """
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          "en" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Demographics of the 700 surveyed individuals&#44; by sample and overall&#46;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Sample 4&#44; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>392 &#40;56&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Orthopedics&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">295 &#40;42&#41; &#40;38&#8211;46&#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">&#62;0&#46;09&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>Rehabilitation&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">24 &#40;23&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">83 &#40;21&#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">144 &#40;21&#41; &#40;18&#8211;24&#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  " align="" valign="\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>Rheumatology&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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">37 &#40;35&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33 &#40;33&#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="char" valign="\n
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                  \t\t\t\t">32 &#40;33&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">159 &#40;41&#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">261 &#40;37&#41; &#40;34&#8211;41&#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="" valign="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="7" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="7" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Knee scenario&#44; n &#40;&#37;&#41;</span></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"><span class="elsevierStyleHsp" style=""></span>Orthopedics&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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">71 &#40;67&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">65 &#40;64&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">71 &#40;72&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">207 &#40;52&#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">414 &#40;59&#41; &#40;55&#8211;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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;001<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">&#64;</span></a>&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"><span class="elsevierStyleHsp" style=""></span>Rehabilitation&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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13 &#40;12&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27 &#40;26&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">65 &#40;17&#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">113 &#40;16&#41; &#40;13&#8211;19&#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="" valign="\n
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                  \t\t\t\t">&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"><span class="elsevierStyleHsp" style=""></span>Rheumatology&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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23 &#40;21&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;10&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20 &#40;20&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">120 &#40;31&#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">173 &#40;25&#41; &#40;21&#8211;28&#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="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="7" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="7" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Arthritis scenario&#44; n &#40;&#37;&#41;</span></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"><span class="elsevierStyleHsp" style=""></span>Orthopedics&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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29 &#40;27&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;22&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34 &#40;34&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">159 &#40;41&#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">244 &#40;35&#41; &#40;31&#8211;38&#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\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Rehabilitation&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">23 &#40;23&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">166 &#40;24&#41; &#40;21&#8211;27&#41;&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">290 &#40;41&#41; &#40;38&#8211;45&#41;&nbsp;\t\t\t\t\t\t\n
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                  \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"><span class="elsevierStyleHsp" style=""></span>Orthopedics&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">158 &#40;40&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">266 &#40;38&#41; &#40;34&#8211;41&#41;&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"><span class="elsevierStyleHsp" style=""></span>Rehabilitation&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">106 &#40;27&#41;&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">174 &#40;25&#41; &#40;22&#8211;28&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Rheumatology&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">53 &#40;52&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">128 &#40;33&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">152 &#40;39&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">276 &#40;40&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;001<a class="elsevierStyleCrossRef" href="#tblfn0050">&#42;&#42;</a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Father&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">8 &#40;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">12 &#40;12&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  "referenciaCompleta" => "Brand trust&#46; Brand image and brand identity&#46; <a target="_blank" href="https://www.brand-trust.de/en/glossary/brand-image.php">https&#58;&#47;&#47;www&#46;brand-trust&#46;de&#47;en&#47;glossary&#47;brand-image&#46;php</a> &#91;accessed 28&#46;8&#46;23&#93;&#46;"
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                    0 => array:2 [
                      "titulo" => "Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico&#58; cross-sectional study"
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                            2 => "A&#46; Urenda-Quezada"
                            3 => "G&#46;C&#46; Reyes-Cordero"
                            4 => "I&#46; Pel&#225;ez-Ballestas"
                            5 => "E&#46; &#193;lvarez-Hern&#225;ndez"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34582473"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Complementary and alternative medicine in patients attending a rheumatology department for the first time&#58; analysis of 800 cases"
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                        0 => array:2 [
                          "etal" => false
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                            0 => "E&#46; &#193;lvarez-Hern&#225;ndez"
                            1 => "J&#46; C&#233;sar Casasola-Vargas"
                            2 => "L&#46; Lino-P&#233;rez"
                            3 => "R&#46; Burgos-Vargas"
                            4 => "J&#46; V&#225;zquez-Mellado"
                          ]
                        ]
                      ]
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                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Reumatol Cl&#237;n Engl Ed"
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                        "paginaFinal" => "189"
                      ]
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                0 => array:1 [
                  "referenciaCompleta" => "Melewar TC&#44; Sarstedt M&#44; Hallier C&#46; Corporate identity&#44; image and reputation management&#58; a further analysis&#46; Corp Commun Int J &#91;Internet&#93;&#46; 17&#46; <a target="_blank" href="https://doi.org/10.1108/ccij.2012.16817aaa.002">https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1108&#47;ccij&#46;2012&#46;16817aaa&#46;002</a> &#91;accessed 12&#46;9&#46;23&#93;&#46;"
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                            0 => "E&#46; Karaosmanoglu"
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