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Richard Mularski

Concepts (424)

Concepts are derived automatically from a person's publications.
Concepts are listed by decreasing relevance which is based on many factors, including how many publications the person wrote about that topic, how long ago those publications were written, and how many publications other people have written on that same topic.


Name Number of Publications Most Recent Publication Publications by All Authors Concept Score Why?
Palliative Care
25
2024
54
4.490
Why?
Pulmonary Disease, Chronic Obstructive
25
2024
184
3.830
Why?
Intensive Care Units
15
2016
105
2.710
Why?
Dyspnea
15
2024
45
2.390
Why?
Terminal Care
18
2019
48
2.300
Why?
Critical Care
16
2021
64
2.150
Why?
Family
11
2016
111
1.540
Why?
Humans
121
2026
17622
1.490
Why?
Practice Guidelines as Topic
14
2025
319
1.080
Why?
Quality Assurance, Health Care
11
2014
120
1.050
Why?
Quality of Health Care
11
2016
260
1.020
Why?
Quality of Life
16
2024
505
0.900
Why?
Critical Illness
8
2016
53
0.900
Why?
Comparative Effectiveness Research
4
2013
59
0.840
Why?
Communication
7
2013
181
0.840
Why?
United States
43
2026
3922
0.840
Why?
Male
48
2026
10014
0.800
Why?
Middle Aged
41
2026
7954
0.750
Why?
Death
3
2008
10
0.720
Why?
Female
48
2026
12715
0.710
Why?
Pulmonary Emphysema
6
2024
11
0.710
Why?
Guideline Adherence
6
2025
155
0.700
Why?
Patient-Centered Care
5
2020
190
0.700
Why?
Aged
33
2026
6223
0.700
Why?
Pain
7
2009
75
0.640
Why?
Outcome Assessment (Health Care)
6
2017
213
0.610
Why?
Lung Neoplasms
5
2025
278
0.610
Why?
Patient Satisfaction
4
2016
193
0.570
Why?
Pulmonary Medicine
6
2016
19
0.550
Why?
Adult
28
2026
7621
0.550
Why?
Pain Management
5
2009
58
0.540
Why?
Professional-Family Relations
4
2013
52
0.540
Why?
Medical Records
2
2016
91
0.530
Why?
Family Characteristics
3
2026
70
0.530
Why?
Surveys and Questionnaires
14
2025
1296
0.520
Why?
Consensus
4
2024
41
0.510
Why?
Quality Indicators, Health Care
7
2010
124
0.510
Why?
Antiviral Agents
3
2022
85
0.500
Why?
Terminally Ill
3
2013
9
0.480
Why?
Multiple Chronic Conditions
4
2019
22
0.470
Why?
Societies, Medical
10
2024
71
0.460
Why?
Analgesics, Opioid
4
2015
258
0.460
Why?
Multiple Pulmonary Nodules
4
2025
18
0.460
Why?
Exercise Tolerance
1
2015
12
0.460
Why?
Patient Care Team
7
2012
107
0.450
Why?
Respiratory Syncytial Virus, Human
2
2025
26
0.450
Why?
Attitude to Death
2
2005
7
0.450
Why?
Treatment Outcome
14
2024
1161
0.440
Why?
Tomography, X-Ray Computed
5
2025
215
0.440
Why?
Respiratory Syncytial Virus Infections
2
2025
37
0.440
Why?
Oregon
8
2026
172
0.440
Why?
Solitary Pulmonary Nodule
3
2025
40
0.430
Why?
Disease Management
5
2016
110
0.420
Why?
Disease Progression
4
2021
266
0.420
Why?
Severity of Illness Index
7
2020
446
0.420
Why?
Music Therapy
1
2013
1
0.410
Why?
Asthma
4
2012
401
0.390
Why?
Nursing Staff, Hospital
1
2012
10
0.380
Why?
Nurse's Role
1
2012
7
0.380
Why?
Watchful Waiting
2
2025
22
0.380
Why?
Perioperative Care
1
2012
4
0.360
Why?
Evidence-Based Medicine
6
2021
173
0.360
Why?
Process Assessment (Health Care)
1
2012
22
0.360
Why?
Attitude of Health Personnel
6
2025
204
0.350
Why?
Delivery of Health Care
5
2022
383
0.350
Why?
Intention
2
2025
28
0.350
Why?
Pharmacists
1
2012
50
0.350
Why?
Blood Pressure
2
2019
288
0.340
Why?
Hypoglycemia
1
2012
48
0.340
Why?
Adenosine Monophosphate
2
2021
6
0.340
Why?
Alanine
2
2021
8
0.340
Why?
Referral and Consultation
4
2024
161
0.340
Why?
Vaccination
3
2025
726
0.340
Why?
Withholding Treatment
6
2019
26
0.340
Why?
Aged, 80 and over
11
2020
1976
0.340
Why?
Smoking Cessation
4
2016
149
0.330
Why?
Electronic Health Records
6
2021
719
0.330
Why?
Smoking
4
2017
420
0.320
Why?
Lung
3
2019
57
0.310
Why?
Home Care Services
2
2021
34
0.310
Why?
Pneumoperitoneum
2
2000
2
0.310
Why?
Breathing Exercises
1
2009
1
0.310
Why?
Relaxation Therapy
1
2009
4
0.310
Why?
Sleep Medicine Specialty
3
2016
5
0.310
Why?
Clinical Trials as Topic
1
2010
121
0.310
Why?
Advance Care Planning
5
2022
22
0.310
Why?
Washington
6
2026
388
0.310
Why?
Meditation
1
2009
17
0.300
Why?
Risk Assessment
6
2020
1093
0.300
Why?
Prospective Studies
6
2026
1251
0.300
Why?
Delphi Technique
3
2024
30
0.300
Why?
Patient Preference
2
2020
49
0.300
Why?
Internet
3
2023
207
0.300
Why?
Family Relations
1
2008
16
0.290
Why?
Young Adult
9
2026
2538
0.280
Why?
Lung Diseases
5
2016
40
0.280
Why?
Sleep Wake Disorders
3
2017
33
0.280
Why?
Radiologists
2
2025
6
0.280
Why?
Randomized Controlled Trials as Topic
2
2022
323
0.270
Why?
Prostheses and Implants
2
2019
2
0.270
Why?
Continuity of Patient Care
6
2022
95
0.260
Why?
Eligibility Determination
1
2006
11
0.250
Why?
Enterovirus Infections
1
2026
3
0.250
Why?
Enterovirus D, Human
1
2026
3
0.250
Why?
Caregivers
5
2020
136
0.250
Why?
Retrospective Studies
12
2021
2502
0.250
Why?
Patient Admission
1
2006
69
0.240
Why?
Genome, Viral
1
2026
7
0.240
Why?
Hospice Care
3
2019
9
0.240
Why?
Niacin
1
2006
2
0.240
Why?
Hypotension
1
2006
5
0.240
Why?
Self Medication
1
2006
5
0.240
Why?
Health Care Costs
3
2019
211
0.240
Why?
Hypolipidemic Agents
1
2006
37
0.230
Why?
Genetic Variation
1
2026
82
0.230
Why?
Respiration, Artificial
3
2020
38
0.230
Why?
Health Knowledge, Attitudes, Practice
2
2025
368
0.230
Why?
Antipsychotic Agents
1
2006
50
0.230
Why?
Respiratory Syncytial Virus Vaccines
1
2025
9
0.220
Why?
Hypertension
2
2019
486
0.220
Why?
Antibodies, Monoclonal
1
2025
25
0.220
Why?
Respiratory Distress Syndrome, Adult
2
2019
9
0.220
Why?
Infant
5
2026
1228
0.220
Why?
Computer Communication Networks
1
2014
9
0.210
Why?
Cross-Sectional Studies
9
2019
1295
0.210
Why?
Translational Medical Research
2
2016
32
0.210
Why?
Biomedical Research
2
2024
77
0.210
Why?
Practice Patterns, Physicians'
2
2025
308
0.210
Why?
Emphysema
1
2024
1
0.210
Why?
Double-Blind Method
5
2022
144
0.200
Why?
Outcome and Process Assessment (Health Care)
4
2014
96
0.200
Why?
Health Services for the Aged
1
2003
14
0.200
Why?
Cost-Benefit Analysis
3
2019
237
0.190
Why?
Curriculum
2
2015
54
0.190
Why?
Child
6
2026
2485
0.190
Why?
Patient Participation
2
2020
124
0.190
Why?
Pregnancy Complications, Infectious
1
2025
157
0.190
Why?
Adolescent
8
2026
3625
0.190
Why?
Streptococcus pneumoniae
1
2022
20
0.190
Why?
Parents
1
2025
301
0.190
Why?
Psychotherapy, Group
1
2022
20
0.190
Why?
Influenza, Human
1
2026
294
0.190
Why?
Heart Diseases
2
2015
71
0.190
Why?
Clinical Competence
4
2015
108
0.190
Why?
Child, Preschool
5
2026
1455
0.180
Why?
Pneumococcal Infections
1
2022
43
0.180
Why?
Mindfulness
1
2022
30
0.180
Why?
Interferon beta-1a
1
2021
1
0.180
Why?
Bronchitis, Chronic
1
2021
3
0.180
Why?
Focus Groups
3
2020
144
0.180
Why?
Ambulatory Care
3
2016
228
0.180
Why?
Observation
2
2012
20
0.180
Why?
Neoplasms
5
2009
457
0.170
Why?
Patient Acceptance of Health Care
1
2025
380
0.170
Why?
Thoracic Diseases
1
2021
2
0.170
Why?
Respiratory Physiological Phenomena
1
2021
3
0.170
Why?
Information Systems
1
2021
15
0.170
Why?
Azetidines
1
2020
2
0.170
Why?
Purines
1
2020
2
0.170
Why?
Pyrazoles
1
2020
3
0.170
Why?
Sulfonamides
1
2020
14
0.170
Why?
Observational Studies as Topic
1
2021
46
0.170
Why?
Clinical Decision-Making
1
2021
33
0.170
Why?
Decision Making
2
2019
177
0.160
Why?
Bronchoscopy
2
2024
9
0.160
Why?
Stakeholder Participation
1
2020
21
0.160
Why?
Life Support Care
2
2012
4
0.160
Why?
Forced Expiratory Volume
4
2024
66
0.150
Why?
Oxygen Inhalation Therapy
3
2020
12
0.150
Why?
House Calls
1
2019
10
0.150
Why?
Hospice and Palliative Care Nursing
1
2019
7
0.150
Why?
Comorbidity
2
2024
552
0.150
Why?
Health Personnel
1
2001
135
0.150
Why?
Respiratory Function Tests
2
2016
31
0.150
Why?
Cardiovascular Diseases
1
2024
545
0.150
Why?
Analgesia
3
2009
4
0.150
Why?
Sulfonylurea Compounds
1
2019
32
0.150
Why?
Patient Care Management
2
2012
24
0.150
Why?
Acute Disease
3
2015
147
0.150
Why?
Metformin
1
2019
52
0.140
Why?
Interviews as Topic
2
2012
324
0.140
Why?
Patient Care Planning
2
2013
45
0.140
Why?
Self Report
1
2020
262
0.140
Why?
Insulin
1
2019
188
0.140
Why?
Pneumonectomy
2
2015
6
0.140
Why?
Risk Factors
5
2026
3291
0.140
Why?
Spirometry
4
2021
59
0.140
Why?
Hospital Mortality
2
2020
135
0.130
Why?
Culture
2
2009
30
0.130
Why?
Delivery of Health Care, Integrated
2
2021
540
0.130
Why?
Organizational Policy
3
2016
12
0.130
Why?
Cohort Studies
5
2021
2502
0.130
Why?
Adrenal Cortex Hormones
3
2016
67
0.130
Why?
Patient Outcome Assessment
1
2017
27
0.130
Why?
Nebulizers and Vaporizers
1
2016
9
0.130
Why?
Personal Satisfaction
1
2016
14
0.130
Why?
Hypoglycemic Agents
1
2019
259
0.130
Why?
Smokers
1
2016
10
0.120
Why?
Bronchi
2
2019
2
0.120
Why?
Asymptomatic Diseases
1
2016
26
0.120
Why?
Nurses
1
2016
33
0.120
Why?
Regression Analysis
3
2020
268
0.120
Why?
Inpatients
2
2016
78
0.120
Why?
National Heart, Lung, and Blood Institute (U.S.)
1
2015
19
0.120
Why?
Research Report
1
2015
23
0.120
Why?
Hospitalists
1
2015
8
0.120
Why?
Multivariate Analysis
3
2017
527
0.110
Why?
Education, Medical, Graduate
1
2015
25
0.110
Why?
Research Design
3
2013
337
0.110
Why?
Fibrin Tissue Adhesive
1
2015
2
0.110
Why?
Advisory Committees
1
2016
112
0.110
Why?
Exercise
1
2020
538
0.110
Why?
Patient Compliance
1
2016
269
0.110
Why?
Diagnostic Techniques, Respiratory System
1
2014
4
0.110
Why?
Hospitals
3
2021
71
0.110
Why?
Health Promotion
2
2015
293
0.110
Why?
Administration, Inhalation
3
2021
39
0.100
Why?
Patient Care
1
2014
30
0.100
Why?
Activities of Daily Living
1
2014
80
0.100
Why?
Guidelines as Topic
2
2006
43
0.100
Why?
Registries
2
2019
475
0.100
Why?
Sleep
2
2014
56
0.100
Why?
Incidental Findings
2
2025
28
0.100
Why?
California
2
2019
2433
0.100
Why?
Nurse-Patient Relations
1
2012
8
0.100
Why?
Patient Selection
2
2004
181
0.090
Why?
Time Factors
4
2020
1038
0.090
Why?
Diabetes Mellitus, Type 2
1
2019
689
0.090
Why?
Smoking Prevention
1
2012
35
0.090
Why?
Medical Informatics
1
2012
33
0.090
Why?
Quality Improvement
1
2013
189
0.090
Why?
Professional Role
1
2012
14
0.090
Why?
Surgical Procedures, Operative
1
2012
16
0.090
Why?
Hospitalization
2
2020
831
0.090
Why?
Anti-Asthmatic Agents
1
2012
88
0.090
Why?
Postoperative Complications
3
2008
99
0.090
Why?
Psychometrics
2
2014
119
0.090
Why?
Qualitative Research
1
2012
290
0.090
Why?
Pleural Diseases
1
2011
1
0.080
Why?
Pulmonary Surgical Procedures
1
2011
1
0.080
Why?
Respiratory Tract Fistula
1
2011
1
0.080
Why?
Pulmonary Alveoli
1
2011
2
0.080
Why?
Length of Stay
1
2012
182
0.080
Why?
Pediatrics
1
2012
149
0.080
Why?
Health Services Research
2
2009
201
0.080
Why?
Prescription Drugs
1
2010
30
0.080
Why?
Reimbursement, Incentive
1
2010
21
0.080
Why?
Wakefulness
1
2009
2
0.080
Why?
Blood Glucose
1
2012
319
0.080
Why?
Respiration
1
2009
6
0.080
Why?
Laparotomy
2
2000
3
0.080
Why?
Drug Therapy, Combination
2
2020
104
0.080
Why?
Intention to Treat Analysis
1
2009
19
0.080
Why?
Pain, Intractable
1
2009
1
0.080
Why?
Analysis of Variance
1
2009
137
0.080
Why?
Medical Records Systems, Computerized
1
2009
67
0.080
Why?
Ethics, Medical
1
2009
4
0.080
Why?
African Americans
2
2016
429
0.070
Why?
Professional-Patient Relations
1
2009
48
0.070
Why?
Podiatry
1
2008
2
0.070
Why?
Foot
1
2008
4
0.070
Why?
Data Collection
2
2012
234
0.070
Why?
Continental Population Groups
1
2010
283
0.070
Why?
Walking
1
2009
89
0.070
Why?
Logistic Models
3
2017
866
0.070
Why?
Models, Organizational
2
2009
54
0.070
Why?
Respiratory Insufficiency
1
2008
16
0.070
Why?
Stress, Psychological
1
2009
141
0.070
Why?
Venous Thromboembolism
1
2008
55
0.070
Why?
Enteral Nutrition
2
1999
5
0.070
Why?
Databases, Factual
2
2016
304
0.070
Why?
Vital Capacity
2
2017
33
0.060
Why?
Family Health
1
2007
45
0.060
Why?
Follow-Up Studies
2
2024
1157
0.060
Why?
Emergency Service, Hospital
1
2010
402
0.060
Why?
Phylogeny
1
2026
19
0.060
Why?
Body Temperature
1
2006
4
0.060
Why?
Analgesics
1
2006
27
0.060
Why?
Urban Population
1
2006
111
0.060
Why?
Health Surveys
1
2006
242
0.060
Why?
Outpatients
2
2020
103
0.060
Why?
Needs Assessment
2
2009
66
0.060
Why?
Antibodies, Neutralizing
1
2025
13
0.060
Why?
Administration, Oral
1
2006
84
0.060
Why?
Viral Load
1
2026
110
0.060
Why?
Immunoglobulin G
1
2025
35
0.060
Why?
Schizophrenia
1
2006
76
0.060
Why?
Canada
2
2015
54
0.060
Why?
Recurrence
2
2016
166
0.060
Why?
Early Detection of Cancer
2
2025
559
0.060
Why?
Antibodies, Viral
1
2025
73
0.060
Why?
Drug Overdose
1
2006
64
0.050
Why?
Socioeconomic Factors
1
2006
603
0.050
Why?
Progressive Patient Care
1
2004
1
0.050
Why?
Decision Trees
1
2004
18
0.050
Why?
Computer Security
1
2014
6
0.050
Why?
Linear Models
2
2017
204
0.050
Why?
Drug Administration Schedule
1
2004
99
0.050
Why?
Patient Discharge
2
2012
154
0.050
Why?
Geriatric Nursing
1
2003
3
0.050
Why?
Clinical Trials, Phase III as Topic
1
2022
5
0.050
Why?
Resource Allocation
1
2022
4
0.050
Why?
Dexamethasone
1
2022
11
0.050
Why?
Injection Site Reaction
1
2022
1
0.050
Why?
Immunogenicity, Vaccine
1
2022
14
0.050
Why?
Policy
1
2022
20
0.050
Why?
Algorithms
1
2004
227
0.050
Why?
Triage
1
2022
24
0.050
Why?
Vaccines, Conjugate
1
2022
58
0.050
Why?
Pneumococcal Vaccines
1
2022
68
0.040
Why?
Singapore
1
2021
3
0.040
Why?
Republic of Korea
1
2021
4
0.040
Why?
Japan
1
2021
14
0.040
Why?
Mexico
1
2021
18
0.040
Why?
Oxygen
1
2021
15
0.040
Why?
Dry Powder Inhalers
1
2021
1
0.040
Why?
Bronchodilator Agents
1
2021
22
0.040
Why?
Ethics, Professional
1
2001
1
0.040
Why?
Organizational Objectives
1
2001
14
0.040
Why?
Janus Kinase Inhibitors
1
2020
1
0.040
Why?
Teaching
1
2001
15
0.040
Why?
Program Development
1
2001
65
0.040
Why?
Peritoneal Dialysis
1
2000
6
0.040
Why?
Pandemics
1
2022
295
0.040
Why?
Inhalation
1
2019
1
0.040
Why?
Internationality
1
2019
13
0.040
Why?
Cardiopulmonary Resuscitation
1
2019
9
0.040
Why?
Infant, Newborn
1
2022
842
0.040
Why?
Multicenter Studies as Topic
1
2019
80
0.040
Why?
Reference Values
1
2019
86
0.040
Why?
Pregnancy
1
2025
1565
0.040
Why?
Survival Analysis
1
2020
197
0.040
Why?
Pragmatic Clinical Trials as Topic
1
2019
65
0.040
Why?
Raynaud Disease
1
1999
1
0.040
Why?
Positive-Pressure Respiration
1
1999
2
0.040
Why?
Cause of Death
1
2020
179
0.040
Why?
Intestinal Polyps
1
1999
7
0.040
Why?
Radiography
1
1999
36
0.040
Why?
Hospitals, Teaching
1
1999
18
0.040
Why?
Academic Medical Centers
1
1999
27
0.040
Why?
Coronary Artery Bypass
1
1999
25
0.040
Why?
Prostatectomy
1
1999
75
0.040
Why?
Neoplasm Staging
1
2019
350
0.040
Why?
Anxiety
1
2019
162
0.040
Why?
Anti-Bacterial Agents
1
2020
152
0.030
Why?
Depression
3
2008
507
0.030
Why?
Prevalence
1
2000
830
0.030
Why?
Antihypertensive Agents
1
2019
163
0.030
Why?
Femoral Nerve
1
1997
1
0.030
Why?
Nerve Compression Syndromes
1
1997
1
0.030
Why?
Sciatic Nerve
1
1997
2
0.030
Why?
Abdomen
1
1997
20
0.030
Why?
Iatrogenic Disease
1
1997
8
0.030
Why?
Metered Dose Inhalers
1
2016
4
0.030
Why?
Self Administration
1
2016
8
0.030
Why?
Advance Directives
2
2008
7
0.030
Why?
Social Support
2
2009
215
0.030
Why?
Northwestern United States
1
2016
53
0.030
Why?
Respiratory Sounds
1
2016
10
0.030
Why?
Cough
1
2016
20
0.030
Why?
Diffusion of Innovation
1
2016
36
0.030
Why?
Health Literacy
1
2016
38
0.030
Why?
Muscarinic Antagonists
1
2016
5
0.030
Why?
Tiotropium Bromide
1
2016
3
0.030
Why?
Educational Status
1
2016
177
0.030
Why?
Adrenergic beta-2 Receptor Agonists
1
2016
6
0.030
Why?
Area Under Curve
1
2016
34
0.030
Why?
ROC Curve
1
2016
73
0.030
Why?
Respiratory Therapy
1
2016
1
0.030
Why?
Secondary Prevention
1
2016
50
0.030
Why?
Jejunostomy
1
1995
1
0.030
Why?
Pneumonia, Aspiration
1
1995
2
0.030
Why?
Gastrostomy
1
1995
3
0.030
Why?
Fellowships and Scholarships
1
2015
10
0.030
Why?
Research
1
2016
60
0.030
Why?
Sensitivity and Specificity
1
2016
302
0.030
Why?
Brain Death
1
2014
1
0.030
Why?
Odds Ratio
1
2016
631
0.030
Why?
International Cooperation
1
2014
14
0.030
Why?
Informed Consent
1
2014
19
0.030
Why?
Survival Rate
1
2015
252
0.030
Why?
Angiography
1
2014
11
0.030
Why?
Vasoconstrictor Agents
1
2014
6
0.030
Why?
Hypertension, Pulmonary
1
2014
6
0.030
Why?
Social Behavior
1
2014
21
0.030
Why?
Bayes Theorem
1
2014
73
0.030
Why?
Fatigue
1
2014
30
0.030
Why?
International Classification of Diseases
1
2014
85
0.030
Why?
Controlled Before-After Studies
1
2013
4
0.030
Why?
Checklist
1
2013
13
0.030
Why?
Point-of-Care Systems
1
2013
8
0.030
Why?
Pulmonary Embolism
1
2014
46
0.030
Why?
Age Factors
1
2016
874
0.030
Why?
Patient Advocacy
1
2012
12
0.020
Why?
Mental Health
1
2014
163
0.020
Why?
Hospitals, University
1
2012
14
0.020
Why?
Cost Savings
1
2012
20
0.020
Why?
Automation
1
2012
24
0.020
Why?
Benchmarking
1
2012
34
0.020
Why?
Confidence Intervals
1
2012
228
0.020
Why?
Telephone
1
2012
159
0.020
Why?
Canes
1
2011
1
0.020
Why?
Electric Stimulation Therapy
1
2011
1
0.020
Why?
Physicians
1
2012
120
0.020
Why?
Compassionate Use Trials
1
2011
1
0.020
Why?
Equipment Design
1
2011
7
0.020
Why?
Counseling
1
2012
173
0.020
Why?
Sex Factors
1
2012
599
0.020
Why?
United Kingdom
1
2010
25
0.020
Why?
Chronic Disease
1
2012
398
0.020
Why?
Respiratory Tract Diseases
1
2010
23
0.020
Why?
Patient Transfer
1
2010
25
0.020
Why?
Health Care Surveys
1
2010
210
0.020
Why?
Public Health
1
2010
84
0.020
Why?
Proxy
1
2009
3
0.020
Why?
Health Status Disparities
1
2010
151
0.020
Why?
Combined Modality Therapy
1
2009
114
0.020
Why?
Health Policy
1
2009
106
0.020
Why?
Program Evaluation
1
2009
214
0.020
Why?
Ethnic Groups
1
2010
443
0.020
Why?
Healthcare Disparities
1
2010
208
0.020
Why?
Religion
1
2005
19
0.010
Why?
Consensus Development Conferences, NIH as Topic
1
2005
1
0.010
Why?
Social Class
1
2005
117
0.010
Why?
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