Badania naukowe Newsy Obok slidera

Sztuczna inteligencja pozwala przewidzieć czas gojenia się rany

Ten tekst przeczytasz w 2 min.

Amerykańscy naukowcy z Net Health wykorzystali uczenie maszynowe do określenia indywidualnych czynników ryzyka, które wpływają na wydłużenie procesu gojenia się ran. Opracowany przez nich model prognostyczny może pomóc klinicystom w podejmowaniu optymalnych decyzji dotyczących leczenia trudno gojących się ran.

Badania nad nową metodą prognostyczną przeprowadził zespół naukowców i klinicystów zajmujących się danymi w Net Health, dostawcy oprogramowania i usług analitycznych. Eksperci przeprowadzili analizy korzystając ze sztucznej inteligencji i uczenia maszynowego. Zaproponowane przez nich rozwiązanie potrafi określić ramy czasowe gojenia się rany, a także czynniki, które wydłużają ten proces oraz pojawiające się zagrożenia – np. ryzyko amputacji kończyny.

Narzędzie wykazało około 77 proc. precyzji w przewidywaniu czasu gojenia się rany

Naukowcy w swoich badaniach wykorzystali dane zgromadzone przez firmę Net Health w celu przewidzenia prawdopodobieństwa gojenia się rany po 4, 8 i 12 tygodniach od rozpoczęcia leczenia. Modele uczenia maszynowego zostały przeszkolone na 1,2 mln przypadków pacjentów z ranami, m.in. z owrzodzeniami, oparzeniami, odleżynami, ranami chirurgicznymi, urazowymi. Dane zawierały również 187 zmiennych, takich jak informacje demograficzne pacjentów, choroby współistniejące, waga, palenie papierosów, a także charakterystyka rany (umiejscowienie, dokładna powierzchnia i głębokość) i ewentualne zabiegi.

Naukowcy przeprowadzili pierwsze testy swojego narzędzia. Okazało się, że najbardziej istotnymi cechami utrudniającymi leczenie się ran było m.in. głębokość rany, jej lokalizacja i rozległość. Narzędzie prognostyczne było natomiast precyzyjne w 77 proc.

Poprawa jakości leczenia i obniżenie kosztów opieki

Matt Berezo, specjalista ds. danych w Net Health i autor badania, podkreśla, że celem badań było dowiedzenie się, jakie czynniki i w jaki sposób mogą wpływać na spowolnienie gojenia się ran. Zaznaczył, że takie narzędzie może pomóc klinicystom w podejmowaniu szybszych i lepszych decyzji dotyczących leczenia w czasie rzeczywistym, poprawiając w ten sposób wyniki i obniżając koszty opieki zdrowotnej.

– Strategiczne zarządzanie pracą i narzędzia predykcyjne są kluczem do poprawy jakości i obniżenia kosztów opieki nad pacjentami — podkreśliła Cathy Thomas Hess, dyrektor ds. klinicznych Net Health. – Zbudowaliśmy narzędzie predykcyjne (…), aby zapewnić cenną migawkę informacji klinicznych w oparciu o dokumentację medyczną (…). Narzędzie pokazuje, w jaki sposób wybrane czynniki wpływają na trajektorię leczenia pacjenta, dzięki czemu zespół kliniczny może podjąć kroki w celu interwencji i stworzenia ukierunkowanego i skutecznego planu leczenia – dodała ekspertka.

Źródło: Net Health

 

 

Przeczytaj także: Nowe narzędzie pokazuje, w jaki sposób stymulacja elektryczna wspomaga gojenie

 

Przeczytaj bezpłatnie pokrewny artykuł w czasopiśmie „Forum Leczenia Ran”:

151 thoughts on “Sztuczna inteligencja pozwala przewidzieć czas gojenia się rany

  1. I simply desired to thank you very much yet again. I am not sure the things that I would have achieved without the type of thoughts discussed by you over such a area. It became a very troublesome case in my position, however , spending time with your specialized mode you solved it made me to weep over joy. I will be grateful for this guidance and trust you realize what a great job you were accomplishing training the others through the use of your web blog. I am certain you haven’t met all of us.

  2. I am glad for writing to make you understand what a useful experience our child experienced reading yuor web blog. She learned a good number of pieces, which included what it is like to have an awesome giving nature to have many people completely grasp some specialized subject matter. You really surpassed our expectations. Many thanks for giving these helpful, healthy, edifying as well as fun thoughts on this topic to Janet.

  3. I precisely desired to appreciate you again. I am not sure the things I might have worked on in the absence of the entire hints contributed by you concerning such a question. It previously was a very difficult scenario in my view, nevertheless encountering a specialized technique you managed it forced me to weep over happiness. Extremely thankful for the guidance and even believe you are aware of a powerful job that you are putting in training many others using your websites. Most probably you haven’t encountered any of us.

  4. I must express some thanks to this writer just for bailing me out of this particular incident. Right after browsing through the the net and obtaining basics which are not pleasant, I believed my entire life was done. Being alive minus the strategies to the problems you have sorted out through this review is a critical case, as well as ones that would have negatively affected my entire career if I hadn’t come across your site. Your skills and kindness in taking care of every part was valuable. I’m not sure what I would’ve done if I had not encountered such a step like this. I can at this time look ahead to my future. Thanks so much for this expert and results-oriented help. I won’t hesitate to endorse the sites to any individual who requires counselling about this issue.

  5. I precisely wished to appreciate you yet again. I do not know the things I might have done without the actual ways revealed by you directly on this area. It became an absolute scary scenario for me, but coming across the very professional approach you treated it forced me to cry for gladness. Now i am happier for this advice and then sincerely hope you really know what a great job that you’re accomplishing training people today through a site. More than likely you’ve never come across all of us.

  6. My wife and i got really thrilled when Raymond managed to round up his analysis through the entire precious recommendations he grabbed from your very own web site. It is now and again perplexing to simply find yourself making a gift of helpful tips that many some others might have been trying to sell. We remember we have the blog owner to thank because of that. The most important explanations you have made, the straightforward site menu, the relationships you will aid to instill – it’s most wonderful, and it’s really aiding our son and the family understand that matter is exciting, which is certainly highly mandatory. Thank you for all the pieces!

  7. Needed to write you that very little note so as to give many thanks over again on your marvelous thoughts you’ve documented on this website. This has been extremely generous of you to provide extensively what exactly many individuals could possibly have made available for an ebook to end up making some money for their own end, specifically now that you might well have tried it if you ever decided. Those thoughts also served to provide a easy way to know that most people have the same fervor similar to my very own to realize more around this issue. I am certain there are thousands of more pleasurable occasions in the future for individuals that discover your site.

  8. I’m just writing to make you be aware of of the really good discovery our child enjoyed viewing your web site. She discovered many issues, which include how it is like to have a great helping nature to get other folks very easily learn about some specialized issues. You actually exceeded her expectations. Thanks for delivering these great, safe, educational not to mention fun tips on that topic to Tanya.

  9. I want to voice my admiration for your generosity supporting people who have the need for help on this one matter. Your real commitment to getting the message up and down ended up being definitely valuable and has specifically permitted men and women much like me to arrive at their dreams. Your own useful guide can mean so much to me and far more to my colleagues. Thanks a lot; from all of us.

  10. I am commenting to make you understand of the helpful discovery our girl experienced reading your blog. She came to understand many things, most notably how it is like to have a wonderful teaching spirit to have men and women without problems completely grasp some multifaceted issues. You truly surpassed my expectations. I appreciate you for imparting such beneficial, trustworthy, educational not to mention unique tips about that topic to Ethel.

  11. I in addition to my guys appeared to be taking note of the excellent guides found on the blog and all of the sudden I had a horrible feeling I had not thanked the web blog owner for those tips. Those women were definitely so passionate to study them and have now in reality been making the most of these things. Thanks for indeed being very considerate and for picking this sort of tremendous subjects most people are really needing to understand about. Our honest apologies for not saying thanks to you sooner.

  12. I must express appreciation to you for bailing me out of this type of circumstance. Just after scouting throughout the world-wide-web and coming across proposals that were not pleasant, I was thinking my entire life was well over. Living without the approaches to the difficulties you’ve solved by way of the site is a crucial case, as well as the ones that would have badly damaged my entire career if I hadn’t discovered the website. Your good know-how and kindness in controlling a lot of things was very helpful. I don’t know what I would have done if I hadn’t discovered such a stuff like this. I’m able to at this moment look ahead to my future. Thanks very much for the skilled and amazing help. I will not be reluctant to propose your web site to anyone who ought to have guidelines about this problem.

  13. I enjoy you because of all your labor on this site. My mum really loves engaging in investigation and it is easy to see why. Many of us notice all regarding the dynamic method you provide rewarding tips by means of this blog and foster participation from visitors about this matter so our favorite child is without a doubt learning a whole lot. Have fun with the remaining portion of the new year. You are always conducting a really good job.

  14. I precisely desired to appreciate you once again. I’m not certain the things I could possibly have achieved without these strategies provided by you relating to that area. It previously was a real horrifying setting in my position, but taking note of your skilled way you treated the issue forced me to cry over contentment. I am thankful for this work and as well , sincerely hope you are aware of an amazing job that you’re doing educating men and women with the aid of a site. More than likely you have never come across any of us.

  15. My wife and i got now fortunate that Edward could conclude his homework through the entire precious recommendations he discovered from your weblog. It’s not at all simplistic to simply choose to be giving out guidelines which often others have been selling. And now we already know we have the writer to give thanks to for that. The entire explanations you made, the simple web site menu, the friendships you can help promote – it’s many great, and it is aiding our son in addition to our family reckon that this article is awesome, which is certainly pretty pressing. Many thanks for everything!

  16. Thanks a lot for providing individuals with such a memorable chance to read articles and blog posts from this web site. It is usually very beneficial and stuffed with amusement for me personally and my office co-workers to visit the blog nearly 3 times a week to see the fresh stuff you will have. And indeed, we’re certainly contented concerning the unbelievable ideas you serve. Certain 4 areas in this post are in truth the simplest we have had.

  17. My wife and i have been quite peaceful that Emmanuel managed to finish up his preliminary research from your ideas he received in your weblog. It’s not at all simplistic to just continually be making a gift of solutions the rest have been trying to sell. And now we take into account we have the website owner to give thanks to for that. Most of the illustrations you’ve made, the easy site navigation, the relationships your site aid to foster – it’s got most terrific, and it is assisting our son and the family imagine that that issue is interesting, and that’s particularly vital. Many thanks for all!

  18. I precisely needed to appreciate you yet again. I do not know what I could possibly have undertaken without the actual tricks shared by you regarding such concern. It previously was a frustrating problem in my position, however , taking note of the very skilled manner you handled that took me to cry over contentment. I am thankful for this help and in addition wish you realize what a powerful job you’re carrying out educating the mediocre ones via your blog post. I’m certain you’ve never met all of us.

  19. I enjoy you because of your entire labor on this blog. My aunt really likes getting into investigation and it’s really easy to see why. Almost all know all relating to the compelling medium you produce priceless tricks by means of this web site and therefore invigorate participation from other people on that idea plus my daughter is without question studying a whole lot. Have fun with the remaining portion of the year. You are conducting a splendid job.

  20. Thank you a lot for providing individuals with an extremely pleasant opportunity to read in detail from this website. It can be so fantastic and as well , jam-packed with a lot of fun for me and my office mates to visit your site no less than three times a week to learn the fresh stuff you have. And of course, I’m certainly fulfilled with the effective principles you serve. Selected 4 tips in this post are in reality the best we’ve had.

  21. I simply wished to appreciate you once more. I do not know the things that I could possibly have sorted out in the absence of those creative ideas contributed by you about such subject matter. It was before a real scary dilemma in my opinion, however , witnessing this skilled strategy you processed that took me to leap over fulfillment. I will be grateful for this work and as well , believe you realize what an amazing job you were accomplishing teaching the others all through your webpage. I know that you’ve never met any of us.

  22. My spouse and i felt so more than happy that Ervin managed to round up his inquiry from your ideas he discovered through the site. It is now and again perplexing to simply always be giving out thoughts that many others may have been trying to sell. Therefore we recognize we have you to appreciate for that. All of the illustrations you’ve made, the simple website menu, the relationships your site give support to engender – it’s got most exceptional, and it is aiding our son and our family consider that this subject matter is excellent, and that’s tremendously important. Thank you for all the pieces!

  23. I just wanted to write down a quick word to express gratitude to you for these superb suggestions you are showing at this site. My prolonged internet look up has now been paid with pleasant know-how to share with my friends and family. I would point out that many of us site visitors are undoubtedly endowed to live in a notable website with very many brilliant individuals with helpful plans. I feel rather happy to have discovered your web site and look forward to so many more enjoyable minutes reading here. Thanks again for everything.

  24. My husband and i were really joyful that Chris could round up his preliminary research from the ideas he had out of the blog. It is now and again perplexing to just continually be offering methods other folks have been trying to sell. We really grasp we have the website owner to be grateful to for that. The most important illustrations you have made, the straightforward blog navigation, the friendships you will make it possible to foster – it’s got most powerful, and it is leading our son in addition to our family know that that subject is satisfying, which is certainly really indispensable. Thanks for all the pieces!

  25. I want to show some appreciation to the writer just for bailing me out of such a crisis. As a result of searching throughout the search engines and finding concepts that were not beneficial, I was thinking my entire life was done. Living devoid of the solutions to the issues you have resolved all through your entire short post is a serious case, and those that could have badly affected my career if I hadn’t noticed your blog post. Your good knowledge and kindness in playing with all the details was tremendous. I don’t know what I would have done if I had not come across such a point like this. It’s possible to now look forward to my future. Thank you so much for your reliable and effective guide. I will not think twice to suggest the website to anybody who should get support on this area.

  26. I not to mention my friends were actually going through the good advice from the website and then all of the sudden developed a terrible feeling I never expressed respect to the website owner for those tips. These boys became consequently very interested to study all of them and have in effect honestly been loving them. Many thanks for turning out to be so kind and for choosing certain high-quality areas millions of individuals are really desirous to learn about. Our honest apologies for not expressing appreciation to earlier.

  27. My wife and i have been absolutely happy when Emmanuel could finish up his survey by way of the ideas he gained through the weblog. It is now and again perplexing to just continually be giving freely solutions which often a number of people have been trying to sell. So we fully understand we need the writer to be grateful to for that. The main illustrations you have made, the simple web site menu, the friendships your site make it possible to instill – it’s got everything sensational, and it is helping our son and our family recognize that the subject matter is brilliant, and that is pretty essential. Many thanks for the whole lot!

  28. The 50 inhibitory concentration of each compound alone and in combination was determined to calculate fractional inhibitory concentrations FICs and construct the isobologram generic propecia, no rx In the event of acute overdosage, the patient should be carefully observed and given supportive treatment, including monitoring of renal function

  29. I precisely wished to thank you so much once again. I am not sure what I could possibly have undertaken in the absence of these pointers revealed by you about that subject. This was a real horrifying issue in my circumstances, however , noticing this well-written tactic you processed the issue made me to leap with joy. I am just thankful for your information as well as pray you recognize what a powerful job you are always providing educating the mediocre ones by way of your webblog. I am sure you have never encountered all of us.

  30. Thanks so much for giving everyone an exceptionally nice opportunity to read in detail from this web site. It can be so ideal and jam-packed with a good time for me and my office fellow workers to visit the blog at minimum 3 times in a week to see the fresh items you have. Not to mention, I am usually satisfied for the astonishing solutions served by you. Certain 3 ideas in this article are truly the most impressive we have ever had.

  31. I’m also writing to make you know what a really good discovery my wife’s girl obtained going through your web site. She realized such a lot of things, including how it is like to possess a marvelous coaching heart to have other folks without hassle grasp selected multifaceted subject areas. You really exceeded people’s expectations. Thank you for presenting these precious, healthy, educational and even fun guidance on your topic to Sandra.

  32. I am glad for commenting to make you understand what a perfect experience my cousin’s girl found reading through yuor web blog. She realized a good number of things, most notably what it is like to possess a great helping mood to make a number of people smoothly comprehend certain problematic subject matter. You actually surpassed visitors’ expected results. I appreciate you for imparting those informative, safe, edifying and even fun tips on this topic to Lizeth.

  33. I wanted to post you that little bit of word in order to thank you so much once again with your remarkable pointers you’ve provided here. It has been certainly remarkably generous of you to supply easily all that a lot of people could have advertised for an e book to generate some dough for their own end, especially seeing that you could possibly have done it if you decided. The thoughts as well acted as a fantastic way to be certain that other people have a similar keenness just like my own to find out much more when it comes to this matter. I am sure there are lots of more enjoyable sessions up front for individuals that scan through your site.

  34. I wish to voice my admiration for your kindness for women who should have guidance on this topic. Your personal commitment to getting the solution across appears to be incredibly invaluable and has always permitted regular people just like me to arrive at their endeavors. Your amazing interesting instruction signifies a whole lot to me and much more to my office colleagues. With thanks; from everyone of us.

  35. I simply wanted to jot down a small note in order to say thanks to you for those marvelous solutions you are sharing here. My extended internet lookup has at the end been honored with excellent insight to write about with my pals. I 'd tell you that we readers actually are really fortunate to exist in a superb website with so many perfect people with helpful concepts. I feel extremely privileged to have used your entire web site and look forward to so many more awesome minutes reading here. Thanks a lot once more for all the details.

  36. I would like to express appreciation to this writer for bailing me out of this particular instance. Right after exploring through the the net and obtaining techniques that were not helpful, I thought my life was well over. Existing without the presence of answers to the difficulties you have solved all through this review is a critical case, as well as the kind that would have negatively affected my entire career if I hadn’t encountered your site. Your expertise and kindness in maneuvering the whole lot was important. I am not sure what I would’ve done if I hadn’t come upon such a thing like this. I’m able to at this point look forward to my future. Thank you very much for this impressive and effective guide. I won’t be reluctant to propose your site to any individual who should get care about this area.

  37. I just wanted to construct a small message in order to say thanks to you for some of the wonderful guides you are showing on this site. My time intensive internet investigation has at the end been honored with really good information to write about with my friends and family. I would declare that many of us site visitors are undoubtedly endowed to live in a very good network with so many outstanding people with good techniques. I feel very blessed to have used your entire webpages and look forward to tons of more exciting moments reading here. Thank you once more for all the details.

  38. My spouse and i got now fortunate when Ervin could complete his reports while using the precious recommendations he acquired while using the web pages. It is now and again perplexing to just possibly be freely giving key points that a number of people have been selling. And we also do understand we have you to give thanks to for that. The illustrations you have made, the easy website menu, the friendships you can aid to promote – it’s got many sensational, and it is helping our son and the family understand the subject matter is thrilling, which is truly mandatory. Thank you for everything!

  39. I must express thanks to this writer just for bailing me out of this dilemma. Just after scouting throughout the the web and getting thoughts which are not productive, I was thinking my entire life was gone. Being alive devoid of the answers to the difficulties you have solved by way of this article content is a crucial case, and ones that might have adversely affected my entire career if I had not noticed your web page. Your primary ability and kindness in handling every item was important. I don’t know what I would have done if I had not come upon such a point like this. I can at this moment relish my future. Thanks a lot very much for the reliable and sensible guide. I won’t hesitate to suggest your blog to anyone who will need guidance on this subject.

  40. Read the Patient Information Leaflet if available from your pharmacist before you start taking Beurises and each time you get a refill finasteride hair Many investigators in the field of pathophysiology have studied the effects of central hypovolemia on circulatory regulation in relation to orthostatic intolerance, or presyncope, or both 2, 12 14, 22, 26

  41. I simply wanted to thank you so much all over again. I’m not certain what I would have handled without these tricks documented by you on my question. It was actually an absolute frustrating circumstance for me personally, nevertheless understanding a new professional tactic you treated the issue took me to jump for delight. I’m just grateful for the information and thus sincerely hope you recognize what a powerful job you’re putting in instructing other individuals through a site. Most likely you haven’t encountered any of us.

  42. I simply wished to thank you very much yet again. I am not sure the things I would have accomplished without those ideas documented by you over that concern. It was a very challenging case in my circumstances, nevertheless seeing the well-written tactic you treated it made me to cry for delight. I am just happy for this service and in addition sincerely hope you find out what a powerful job you have been carrying out training many others by way of your websites. Most likely you have never met any of us.

  43. I as well as my friends happened to be taking note of the good tricks from the blog while the sudden came up with a horrible suspicion I never thanked the web site owner for those secrets. The people came so stimulated to see all of them and have actually been taking advantage of those things. Appreciate your genuinely well kind and then for deciding on certain smart things most people are really eager to be informed on. My personal sincere regret for not saying thanks to earlier.

  44. I am commenting to let you understand of the awesome discovery my girl had using yuor web blog. She realized lots of things, with the inclusion of how it is like to have an excellent coaching heart to get many people without problems master a variety of grueling things. You really did more than our expected results. Thank you for imparting these invaluable, dependable, explanatory not to mention fun tips about this topic to Jane.

  45. I want to express some appreciation to this writer for bailing me out of this type of crisis. As a result of surfing around throughout the search engines and seeing tricks that were not productive, I was thinking my entire life was done. Existing without the presence of strategies to the problems you’ve fixed through your review is a critical case, and those which might have negatively affected my career if I hadn’t come across the blog. Your personal mastery and kindness in controlling every aspect was useful. I’m not sure what I would’ve done if I had not come upon such a point like this. It’s possible to now relish my future. Thank you so much for the reliable and amazing help. I won’t hesitate to recommend your web sites to any individual who should receive counselling on this topic.

  46. I wish to voice my love for your generosity for individuals who really want assistance with in this situation. Your personal commitment to getting the solution along appears to be extremely informative and has continually empowered guys and women like me to arrive at their aims. The warm and friendly advice implies so much to me and still more to my fellow workers. Many thanks; from everyone of us.

  47. I as well as my guys came reading the great tips and tricks found on your website and so at once I got a terrible feeling I never expressed respect to the blog owner for those secrets. My ladies are actually for this reason very interested to study them and have in effect absolutely been enjoying those things. I appreciate you for truly being indeed thoughtful and then for deciding on variety of great information most people are really eager to know about. My personal honest regret for not expressing gratitude to you sooner.

  48. My wife and i ended up being very more than happy that Edward could complete his survey through the ideas he was given from your very own blog. It’s not at all simplistic to simply choose to be giving freely facts men and women may have been trying to sell. We really acknowledge we now have you to give thanks to because of that. The illustrations you made, the simple website navigation, the friendships you can assist to engender – it is mostly impressive, and it’s letting our son and our family recognize that that issue is enjoyable, and that is tremendously mandatory. Thanks for all the pieces!

  49. Nice post. I was checking constantly this weblog and I am inspired!
    Very helpful info particularly the last part 🙂 I handle such information much.
    I used to be looking for this particular info for a very long time.

    Thanks and best of luck.

  50. After I initiallʏ commented I seem to have clicked on the -Notify
    me ԝhen new comments are added- checкbox and from now оn every time a comment
    is added I get 4 emails with the sɑmе comment.
    There has to ƅе a means you can remove me from that service?
    ᛕudos!

  51. Hello just wanted to give you a quick heads up and let you know a few of the images aren’t loading correctly.
    I’m not sure why but I think its a linking issue. I’ve tried it in two different
    internet browsers and both show the same outcome.

  52. Hi, i read your blog occasionally and i own a similar one and i
    was just curious if you get a lot of spam comments?

    If so how do you protect against it, any plugin or
    anything you can recommend? I get so much lately it’s driving me mad so any support is very much appreciated.

  53. This is the perfect web site for everyone who wishes to find out
    about this topic. You understand a whole lot its almost hard to argue with you (not that I personally would want to…HaHa).
    You definitely put a brand new spin on a subject which
    has been discussed for ages. Wonderful stuff, just wonderful!

  54. An attention-grabbing discussion is worth comment. I think that you need to write extra on this subject, it won’t be a taboo topic however usually people are not sufficient to talk on such topics. To the next. Cheers

  55. Hmm is anyone else experiencing problems with the pictures on this blog loading? I’m trying to figure out if its a problem on my end or if it’s the blog. Any feedback would be greatly appreciated.

  56. My coder is trying to convince me to move to .net from PHP.
    I have always disliked the idea because of the costs.
    But he’s tryiong none the less. I’ve been using Movable-type on several websites for about a year
    and am worried about switching to another platform.
    I have heard great things about blogengine.net. Is there a way I can transfer all my wordpress
    posts into it? Any help would be greatly appreciated!

  57. Youre so cool! I dont suppose Ive read anything like this before. So good to search out any individual with some original thoughts on this subject. realy thanks for beginning this up. this website is something that’s wanted on the internet, someone with somewhat originality. helpful job for bringing something new to the web!

  58. Quietum Plus is a 100% natural supplement designed to address ear ringing and other hearing issues. This formula uses only the best in class and natural ingredients to achieve desired results.

  59. Prostadine works really well because it’s made from natural things. The people who made it spent a lot of time choosing these natural things to help your mind work better without any bad effects.

Dodaj komentarz

Twój adres e-mail nie zostanie opublikowany.