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[PMID]:29195663
[Au] Autor:Bacci N; Nchabeleng EK; Billings BK
[Ad] Dirección:Human Variation and Identification Research Unit (HVIRU), School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Parktown, 2193 Johannesburg, South Africa. Electronic address: Nicholas.Bacci@wits.ac.za.
[Ti] Título:Forensic age-at-death estimation from the sternum in a black South African population.
[So] Fuente:Forensic Sci Int;282:233.e1-233.e7, 2018 Jan.
[Is] ISSN:1872-6283
[Cp] País de publicación:Ireland
[La] Idioma:eng
[Ab] Resumen:Age-at-death estimation is a crucial component of any forensic anthropological analysis. Despite a variety of research in this field, uncertainties still exist when estimating adult age. The sternum is an under-considered element in terms of adult age estimation. Previous research on an Indian population suggested that this may be a usable region of the skeleton, although results were ambivalent. This study observed the fusion phases of 461 sterna from a black South African population in an attempt to match true age of an individual with the different phases of synostosis of the manubrio-sternal and the sterno-xiphoidal junctions. The results demonstrated that the majority of sterna remain unfused throughout adult life, with complete fusion observed both in young (25 year-old) and old individuals. Significant differences were identified amongst male and female sterna, with males presenting no transitional fusion of the segments, while female sterna demonstrated fusion to a lesser extent. Overall, logistic regression results demonstrated low accuracies (62.5%) for age estimation even when the two sexes were considered separately (male=63.9%; female=61.8%). The synostosis of both junctions is hence considered highly variable and deemed unreliable for adult age-at-death estimation in the black South African population.
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:180103
[Lr] Fecha última revisión:180103
[St] Status:In-Process


  2 / 308 MEDLINE  
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[PMID]:28669310
[Au] Autor:Smith A; Kortebein S; Eid A; Boughter J; Cary N; Brooks J; Sebelik M
[Ad] Dirección:1 Department of Otolaryngology, Head & Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
[Ti] Título:Comparing Cancellous Bone Volume of the Manubrium to Iliac Crest in Fresh Cadavers.
[So] Fuente:Otolaryngol Head Neck Surg;157(1):36-41, 2017 Jul.
[Is] ISSN:1097-6817
[Cp] País de publicación:England
[La] Idioma:eng
[Ab] Resumen:Objective The iliac crest is the gold standard for cancellous bone grafting. This site is distant from head and neck reconstruction and may lead to significant postoperative morbidity. We propose an alternative harvest site within the head and neck with potentially less mobility deficits, the manubrium. Study Design Fresh-frozen cadaveric study. Setting Gross anatomy laboratory. Subjects and Methods Access to 18 cadavers was granted from the Medical Education and Research Institute in Memphis, Tennessee. The anterior iliac crests were exposed and H-type osteotomies performed. The manubrium was accessed through a substernal notch incision and a cortical window created through the anterior manubrium. Cancellous bone was harvested from these sites. Cadaveric demographics and noncompressed and compressed volumes were recorded with statistical comparisons. Results The population was predominantly male (12/18) with a mean age of 69.6 (95% confidence interval [CI], 64.0-75.3) years. The mean body mass index was 22.9 (95% CI, 18.8-27.1) kg/m with no sex propensity. Uncompressed volumes did not vary, ranging from 6.4 to 7.5 mL. Compressed volumes (mL) for the right iliac crest (4.3; 95% CI, 3.0-5.6), left iliac crest (3.5; 95% CI, 2.7-4.2), and manubrium (2.4; 95% CI, 1.8-3.0) varied (1-way analysis of variance: F(2, 51) = 4.63; P < .02). Furthermore, there was correlation between compressed volumes taken from either area ( r = 0.58; P < .02). Conclusions The manubrium can be used for cancellous bone grafting. This site affords a proximity to the head and neck rather than the distant iliac crest but with slightly lower yields. Potential applications include reconstructing small mandibular defects, mandible nonunion, or alveolar bone grafting.
[Mh] Términos MeSH primario: Trasplante Óseo/métodos
Hueso Esponjoso/trasplante
Ilion/trasplante
Manubrio/trasplante
[Mh] Términos MeSH secundario: Cadáver
Femenino
Neoplasias de Cabeza y Cuello/cirugía
Seres Humanos
Masculino
Osteotomía
Recolección de Tejidos y Órganos
Trasplante Autólogo
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1708
[Cu] Fecha actualización por clase:170824
[Lr] Fecha última revisión:170824
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:170704
[St] Status:MEDLINE
[do] DOI:10.1177/0194599817692961


  3 / 308 MEDLINE  
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[PMID]:28363367
[Au] Autor:Wright CD
[Ad] Dirección:Division of Thoracic Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA, 02114, USA. Electronic address: cdwright@partners.org.
[Ti] Título:Straight Back Syndrome.
[So] Fuente:Thorac Surg Clin;27(2):133-137, 2017 May.
[Is] ISSN:1558-5069
[Cp] País de publicación:United States
[La] Idioma:eng
[Ab] Resumen:Straight back syndrome is a rare condition usually associated with mitral valve prolapse and "pseudo-heart disease" caused by a very narrow anterior-posterior chest due to the loss of the normal dorsal curvature of the thoracic spine. More rarely, the narrowed upper chest may compress the trachea causing extrinsic tracheal obstruction. If severe enough, this requires operative repair by effectively opening up the upper chest by a variety of techniques to allow the trachea enough room to avoid compression.
[Mh] Términos MeSH primario: Obstrucción de las Vías Aéreas/etiología
Manubrio/cirugía
Anomalías Musculoesqueléticas/complicaciones
Procedimientos Ortopédicos/métodos
Vértebras Torácicas/anomalías
Estenosis Traqueal/etiología
[Mh] Términos MeSH secundario: Obstrucción de las Vías Aéreas/cirugía
Seres Humanos
Anomalías Musculoesqueléticas/diagnóstico
Síndrome
Estenosis Traqueal/cirugía
[Pt] Tipo de publicación:JOURNAL ARTICLE; REVIEW
[Em] Mes de ingreso:1705
[Cu] Fecha actualización por clase:170522
[Lr] Fecha última revisión:170522
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:170402
[St] Status:MEDLINE


  4 / 308 MEDLINE  
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[PMID]:28328810
[Au] Autor:Jang YE; Kim EH; Song IK; Lee JH; Ryu HG; Kim HS; Kim JT
[Ad] Dirección:Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
[Ti] Título:Prediction of the mid-tracheal level using surface anatomical landmarks in adults: Clinical implication of endotracheal tube insertion depth.
[So] Fuente:Medicine (Baltimore);96(12):e6319, 2017 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicación:United States
[La] Idioma:eng
[Ab] Resumen:Endotracheal tube (ETT) should be placed at the optimal level to avoid single lung ventilation or accidental extubation. This study was performed to estimate the mid-tracheal level by using surface anatomical landmarks in adult patients.Neck computed tomography images of 329 adult patients between the ages of 16 and 79 years were reviewed. In the midline sagittal plane, the levels corresponding to the vocal cords, cricoid cartilage, suprasternal notch, manubriosternal junction, and carina were identified. The surface distances from the cricoid cartilage to the suprasternal notch (extCC-SSN) and that from the suprasternal notch to the manubriosternal junction (extSSN-MSJ) were measured. The relationship between mid-tracheal level and the surface distances was analyzed using Bland-Altman plot.The difference between the extCC-SSN and the mid-tracheal level was -6.6 (12.5) mm, and the difference between the extSSN-MSJ and the mid-tracheal level was -19.2 (6.1) mm. The difference between the extCC-SSN and the mid-tracheal level was smaller in females compared with males [-1.7 (11.7) mm vs -12.8 (10.7) mm; P < 0.001].The mid-tracheal level, which is helpful in planning the insertion depth of an ETT, can be predicted by the surface distance between the cricoid cartilage and suprasternal notch in adults, especially in females.
[Mh] Términos MeSH primario: Intubación Intratraqueal/métodos
Tráquea/anatomía & histología
[Mh] Términos MeSH secundario: Adolescente
Adulto
Anciano
Cartílago Cricoides/anatomía & histología
Femenino
Seres Humanos
Masculino
Manubrio/anatomía & histología
Mediana Edad
Tomografía Computarizada por Rayos X
Tráquea/diagnóstico por imagen
Pliegues Vocales/anatomía & histología
Adulto Joven
[Pt] Tipo de publicación:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mes de ingreso:1704
[Cu] Fecha actualización por clase:170410
[Lr] Fecha última revisión:170410
[Sb] Subgrupo de revista:AIM; IM
[Da] Fecha de ingreso para procesamiento:170323
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006319


  5 / 308 MEDLINE  
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[PMID]:28129780
[Au] Autor:Akowuah E; Goodwin AT; Owens WA; Hancock HC; Maier R; Kasim A; Mellor A; Khan K; Murphy G; Mason J
[Ad] Dirección:Cardiothoracic Division, The James Cook University Hospital, South Tees Hospitals NHS Foundation Trust, Marton Road, Middlesbrough, TS4 3BW, UK.
[Ti] Título:Manubrium-limited ministernotomy versus conventional sternotomy for aortic valve replacement (MAVRIC): study protocol for a randomised controlled trial.
[So] Fuente:Trials;18(1):46, 2017 Jan 28.
[Is] ISSN:1745-6215
[Cp] País de publicación:England
[La] Idioma:eng
[Ab] Resumen:BACKGROUND: Aortic valve replacement is one of the most common cardiac surgical procedures performed worldwide. Conventional aortic valve replacement surgery is performed via a median sternotomy; the sternum is divided completely from the sternal notch to the xiphisternum. Minimally invasive aortic valve replacement, using a new technique called manubrium-limited ministernotomy, divides only the manubrium from the sternal notch to 1 cm below the manubrio-sternal junction. More than one third of patients undergoing conventional sternotomy develop clinically significant bleeding requiring post-operative red blood cell transfusion. Case series data suggest a potentially clinically significant difference in red blood cell transfusion requirements between the two techniques. Given the implications for National Health Service resources and patient outcomes, a definitive trial is needed. METHODS/DESIGN: This is a single-centre, single-blind, randomised controlled trial comparing aortic valve replacement surgery using manubrium-limited ministernotomy (intervention) and conventional median sternotomy (usual care). Two hundred and seventy patients will be randomised in a 1:1 ratio between the intervention and control arms, stratified by baseline logistic EuroSCORE and haemoglobin value. Patients will be followed for 12 weeks from discharge following their index operation. The primary outcome is the proportion of patients who receive a red blood cell transfusion post-operatively within 7 days of surgery. Secondary outcomes include red blood cell and blood product transfusions, blood loss, re-operation rates, sternal wound pain, quality of life, markers of inflammatory response, hospital discharge, health care utilisation, cost and cost effectiveness and adverse events. DISCUSSION: This is the first trial to examine aortic valve replacement via manubrium-limited ministernotomy versus conventional sternotomy when comparing red blood cell transfusion rates following surgery. Surgical trials present significant challenges; strengths of this trial include a rigorous research design, standardised surgery performed by experienced consultant cardiothoracic surgeons, an agreed anaesthetic regimen, patient blinding and consultant-led patient recruitment. The MAVRIC trial will demonstrate that complex surgical trials can be delivered to exemplary standards and provide the community with the knowledge required to inform future care for patients requiring aortic valve replacement surgery. TRIAL REGISTRATION: International Standard Randomised Controlled Trial Number (ISRCTN) ISRCTN29567910 . Registered on 3 February 2014.
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1701
[Cu] Fecha actualización por clase:170922
[Lr] Fecha última revisión:170922
[St] Status:In-Process
[do] DOI:10.1186/s13063-016-1768-4


  6 / 308 MEDLINE  
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[PMID]:27825179
[Au] Autor:Rist A; Willscheid G; Rasch H; Paul J
[Ad] Dirección:Rennbahnklinik, Orthopädie und Sportmedizin, Muttenz, Schweiz.
[Ti] Título:["Manubriosternal Synchondrosis": A Rare Problem in Sports Medicine].
[Ti] Título:"Synchrondritis manubriosternalis": Ein seltenes Problem in der Sportmedizin..
[So] Fuente:Sportverletz Sportschaden;30(4):229-231, 2016 Dec.
[Is] ISSN:1439-1236
[Cp] País de publicación:Germany
[La] Idioma:ger
[Ab] Resumen:Non-traumatic, inflammatory and painful lesions of the manubriosternal joint are rare pathologies and, to our knowledge, have not been described in the literature of sports medicine. We report the case of a 30-year-old male strength athlete who developed chronic pain in the manubriosternal joint after exercise. Four-month abstinence from exercise combined with a conservative rehabilitation program performed after clinical and radiological tests did not bring any symptomatic relief. After a local ultrasound-guided single-shot sclerotherapy procedure performed in our clinic, the patient was free of symptoms and quickly regained his ability to exercise.
[Mh] Términos MeSH primario: Traumatismos en Atletas/diagnóstico
Traumatismos en Atletas/terapia
Cartílago Articular/lesiones
Luxaciones Articulares/diagnóstico
Luxaciones Articulares/terapia
Manubrio/lesiones
[Mh] Términos MeSH secundario: Adulto
Cartílago Articular/diagnóstico por imagen
Terapia Combinada/métodos
Diagnóstico Diferencial
Ultrasonido Enfocado de Alta Intensidad de Ablación/métodos
Seres Humanos
Masculino
Manubrio/diagnóstico por imagen
Examen Físico/métodos
Enfermedades Raras/diagnóstico
Enfermedades Raras/terapia
Escleroterapia/métodos
Medicina Deportiva/métodos
Resultado del Tratamiento
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Em] Mes de ingreso:1708
[Cu] Fecha actualización por clase:170818
[Lr] Fecha última revisión:170818
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:161109
[St] Status:MEDLINE


  7 / 308 MEDLINE  
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[PMID]:27629288
[Au] Autor:Boruah DK; Prakash A; Yadav RR; Dhingani DD; Achar S; Augustine A; Mahanta K
[Ad] Dirección:Department of Radio-diagnosis, Assam Medical College and Hospital, RCC-4, M-Lane, Assam Medical College Campus, Dibrugarh, Assam, India, 786002. drdeb_rad@yahoo.co.in.
[Ti] Título:The safe zone for blinded sternal interventions based on CT evaluation of midline congenital sternal foramina.
[So] Fuente:Skeletal Radiol;45(12):1619-1628, 2016 Dec.
[Is] ISSN:1432-2161
[Cp] País de publicación:Germany
[La] Idioma:eng
[Ab] Resumen:OBJECTIVE: The aim of this study was to evaluate the safe zone for performing blind sternal procedures based on computed tomography (CT) evaluation of congenital midline sternal foramina using multidetector computed tomography (MDCT). MATERIALS AND METHODS: This retrospective study was carried out on 1,180 patients who underwent MDCT of the thorax from March 2015 to February 2016. The MDCT images were evaluated in axial and reformatted planes. Morphometry and prevalence of midline congenital sternal foramina (SF) and manubrio-foraminal distance (MFD) were evaluated. The safe zone was defined for a blinded intervention, based on palpable anatomical landmarks. Data were presented in terms of percentage, mean ± standard deviation and calculations were carried out using Microsoft Excel. RESULTS: The prevalence of SF in our study sample was 11.6 %. The majority of SF were located in a typical position in the lower sternal body at the level of fifth costo-chondral junction (CCJ) in 108 patients (78.8 %). The structure directly beneath the SF was mediastinal fat in 73 patients (53.3 %), followed by anterior pericardium in 44 patients (32.1 %) and lung parenchyma in 20 patients (14.6 %). The mean MFD in our study population was 11.90 ± 1.31 cm. CONCLUSIONS: Sternal interventions should be avoided at the level of fourth to sixth CCJ, which is considered the danger zone. An intervention at the fourth to sixth CCJ may lead to disastrous consequences in patients who have SF.
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1609
[Cu] Fecha actualización por clase:170924
[Lr] Fecha última revisión:170924
[St] Status:In-Process


  8 / 308 MEDLINE  
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[PMID]:27246671
[Au] Autor:Freeland KT; Davies JE
[Ad] Dirección:Department of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
[Ti] Título:Off-Pump CABG in a Patient with Laryngectomy and Permanent Tracheostomy Utilizing Low Midline Skin Incision with Transverse Skin Flaps and Manubrium Sparing Sternotomy.
[So] Fuente:J Card Surg;31(7):439-40, 2016 Jul.
[Is] ISSN:1540-8191
[Cp] País de publicación:United States
[La] Idioma:eng
[Ab] Resumen:Patients that have undergone previous laryngectomy with permanent stoma placement are at increased risk of wound infection, mediastinitis, and tracheal injury when undergoing coronary artery bypass grafting (CABG) via standard skin incision and sternotomy. We present a case of off-pump CABG via a low midline skin incision with transverse skin flaps and a manubrium sparing sternotomy. doi: 10.1111/jocs.12771 (J Card Surg 2016;31:439-440).
[Mh] Términos MeSH primario: Puente de Arteria Coronaria Off-Pump
Laringectomía
Manubrio
Tratamientos Conservadores del Órgano
Piel
Esternotomía/métodos
Colgajos Quirúrgicos
Traqueostomía/métodos
[Mh] Términos MeSH secundario: Anciano
Seres Humanos
Masculino
Resultado del Tratamiento
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Em] Mes de ingreso:1703
[Cu] Fecha actualización por clase:170308
[Lr] Fecha última revisión:170308
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:160602
[St] Status:MEDLINE
[do] DOI:10.1111/jocs.12771


  9 / 308 MEDLINE  
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[PMID]:27075281
[Au] Autor:Mitsuboshi S; Kanzaki M; Ogihara A; Katagiri S; Yoshiya T; Sakamoto K; Maeda H; Kikkawa T; Isaka T; Oyama K; Murasugi M; Onuki T
[Ad] Dirección:Department of Surgery I, Tokyo Women's Medical University, Tokyo, Japan.
[Ti] Título:[Outcomes of Surgical Treatment by Modified Transmanubrial Approach].
[So] Fuente:Kyobu Geka;69(3):180-3, 2016 Mar.
[Is] ISSN:0021-5252
[Cp] País de publicación:Japan
[La] Idioma:jpn
[Ab] Resumen:OBJECTIVE: The aim of this study is to evaluate the useful and safety of surgical treatment by modified transmanubrial approach(MTA). METHODS: Between January 2000 and May 2014, 10 patients underwent surgical treatment by MTA. Among these patients, we retrospectively reviewed the medical records of 6 patients who had vascular invasion of tumor. We evaluated postoperative outcomes of MTA. RESULTS: All patients were men, with a median age of 56 years. Pathological diagnoses were as follows:thymic carcinoma in 2, thyroid cancer in 2, primary lung cancer in 1, mediastinal lymph node metastasis of thyroid cancer in 1 patient. The median operative time was 468 minutes. The median bleeding was 1,723.5 ml. Four patients underwent angioplasty, including direct suture in 1, graft replacement artificial blood vessel in 3 patients. Right auricle-innominate vein bypass was performed in 3 patients. The median hospitalization term was 29 days. R0 resection was archived in all cases. CONCLUSION: The surgical treatment by MTA is useful and safety for anterior apical tumor and mediastinal tumor invading adjacent vessels. Because of a small number of sample size, further investigation well be needed.
[Mh] Términos MeSH primario: Cirugía Torácica Asistida por Video/métodos
[Mh] Términos MeSH secundario: Adulto
Anciano
Seres Humanos
Neoplasias Pulmonares/cirugía
Metástasis Linfática
Masculino
Manubrio
Mediana Edad
Estudios Retrospectivos
Neoplasias de la Tiroides/cirugía
Resultado del Tratamiento
[Pt] Tipo de publicación:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mes de ingreso:1606
[Cu] Fecha actualización por clase:160414
[Lr] Fecha última revisión:160414
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:160415
[St] Status:MEDLINE


  10 / 308 MEDLINE  
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[PMID]:26980227
[Au] Autor:Baker JC; Demertzis JL
[Ad] Dirección:Mallinckrodt Institute of Radiology, Musculoskeletal Section, Washington University School of Medicine, 510 S. Kingshighway Boulevard, Campus Box 8131, St Louis, MO, 63110, USA. bakerjo@mir.wustl.edu.
[Ti] Título:Manubrial stress fractures diagnosed on MRI: report of two cases and review of the literature.
[So] Fuente:Skeletal Radiol;45(6):833-7, 2016 Jun.
[Is] ISSN:1432-2161
[Cp] País de publicación:Germany
[La] Idioma:eng
[Ab] Resumen:In contrast to widely-reported sternal insufficiency fractures, stress fractures of the sternum from overuse are extremely rare. Of the 5 cases of sternal stress fracture published in the English-language medical literature, 3 were in the sternal body and only 2 were in the manubrium. We describe two cases of manubrial stress fracture related to golf and weightlifting, and present the first report of the MR findings of this injury. In each of these cases, the onset of pain was atraumatic, insidious, and associated with increased frequency of athletic activity. Imaging was obtained because of clinical diagnostic uncertainty. On MRI, each patient had a sagittally oriented stress fracture of the lateral manubrium adjacent to the first rib synchondrosis. Both patients had resolution of pain after a period of rest, with subsequent successful return to their respective activities. One patient had a follow-up MRI, which showed resolution of the manubrial marrow edema and fracture line. Based on the sternal anatomy and MR findings, we hypothesize that this rare injury might be caused by repetitive torque of the muscle forces on the first costal cartilage and manubrium, and propose that MRI might be an effective means of diagnosing manubrial stress fracture.
[Mh] Términos MeSH primario: Traumatismos en Atletas/diagnóstico por imagen
Trastornos de Traumas Acumulados/diagnóstico por imagen
Fracturas por Estrés/diagnóstico por imagen
Imagen por Resonancia Magnética
Manubrio/diagnóstico por imagen
Manubrio/lesiones
[Mh] Términos MeSH secundario: Adulto
Diagnóstico Diferencial
Seres Humanos
Masculino
Mediana Edad
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mes de ingreso:1701
[Cu] Fecha actualización por clase:170924
[Lr] Fecha última revisión:170924
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:160317
[St] Status:MEDLINE
[do] DOI:10.1007/s00256-016-2357-z



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