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Pesquisa : A02.835.232.570.500.150 [Categoria DeCS]
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[PMID]:27989967
[Au] Autor:Abdel Ghany W; Nada MA; Toubar AF; Desoky AE; Ibrahim H; Nassef MA; Mahran MG
[Ad] Endereço:Department of Neurosurgery, Ain Shams University, Abbasseya, Cairo, Egypt. Electronic address: wghany@gmail.com.
[Ti] Título:Modified Interscalene Approach for Resection of Symptomatic Cervical Rib: Anatomic Review and Clinical Study.
[So] Source:World Neurosurg;98:124-131, 2017 Feb.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cervical ribs have been reported to be present in about 0.5% of the general population, 10% of patients with cervical rib who are symptomatic usually have neurogenic symptoms, but some have arterial symptoms. In 1861, Coote was the first to excise a cervical rib through a supraclavicular approach and relieved the symptoms of thoracic outlet syndrome. OBJECTIVE: In this study, we address the efficacy and safety of a modification to the supraclavicular approach for resection of symptomatic cervical ribs. PATIENTS AND METHODS: The surgical team in collaboration with an anatomist performed cadaveric dissections of the posterior triangle of the neck in the Department of Anatomy, Ain Shams University. A prospective study was performed of 25 patients with moderate to severe neck or upper limb pain; this pain was resistant to medical treatment for at least 6 months. Preoperative cervical radiography showed cervical ribs. Pain was assessed by using the visual analog scale. Electrophysiologic tests were performed to confirm the diagnosis. In this study, we performed a modified supraclavicular interscalene approach with resection of the symptomatic rib and without resecting either of the scalene muscles or the first thoracic rib. RESULTS: A total of 25 patients were included in this study; the mean age was 36 years (± 12 standard deviation), and the mean follow-up period was 12.3 months. All patients had moderate (28%) to severe (72%) preoperative pain. Motor deficits were present in 6 cases (24%); Sensory manifestations were present in 80%. All patients had a relief of severe pain at the first postoperative visit in the first week. There were improvements in the motor power in 5 of the 6 patients who had preoperative motor deficit. CONCLUSIONS: A modified supraclavicular interscalene approach for resection of symptomatic cervical ribs has been shown to be effective in the treatment of neuralgic pain. Compared with other approaches, it proved to be less invasive, with small transverse incision and without resection of scalenus anterior muscle.
[Mh] Termos MeSH primário: Medula Cervical/cirurgia
Síndrome da Costela Cervical/cirurgia
Costela Cervical/cirurgia
Descompressão Cirúrgica/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Síndrome da Costela Cervical/diagnóstico por imagem
Feminino
Seres Humanos
Imagem Tridimensional
Masculino
Meia-Idade
Estudos Prospectivos
Reoperação
Tomógrafos Computadorizados
Resultado do Tratamento
Escala Visual Analógica
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161220
[St] Status:MEDLINE


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[PMID]:28005137
[Au] Autor:Schut PC; Cohen-Overbeek TE; Galis F; Ten Broek CM; Steegers EA; Eggink AJ
[Ad] Endereço:Physician in Prenatal Medicine, Division of Obstetrics and Prenatal Medicine, Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center Rotterdam, Rotterdam.
[Ti] Título:Adverse Fetal and Neonatal Outcome and an Abnormal Vertebral Pattern: A Systematic Review.
[So] Source:Obstet Gynecol Surv;71(12):741-750, 2016 Dec.
[Is] ISSN:1533-9866
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: The human vertebral column has a stable number of vertebrae and ribs, which is presumably the result of evolutionary selection. An association between an abnormal vertebral pattern, especially in the cervical region, and congenital anomalies or adverse fetal outcome has been reported. Objective: The aim of this study was to review the current literature concerning an abnormal vertebral pattern and prevalence of cervical ribs in healthy subjects and in subjects with adverse outcome. Evidence Acquisition: Scientific databases were searched systematically. Studies assessing the number of vertebrae and/or ribs were included, and data concerning anomalies and outcome were extracted. Results: Thirty-nine studies including 75,018 healthy subjects and 6130 subjects with structural or chromosomal anomalies or adverse outcome were selected. The majority of these studies focused on the prevalence of cervical ribs. The prevalence of cervical ribs was considerably higher in fetuses with adverse outcome, including aneuploidies, compared with healthy individuals in the vast majority of studies. Studies suggest an association between cervical ribs and other structural anomalies. Conclusions: These results demonstrate that detailed assessment of the fetal vertebral column, especially of the cervicothoracic region, could provide valuable information regarding fetal and neonatal prognosis. Based on the available evidence, the application of 3-dimensional (3D) ultrasound to assess the vertebral column and ribs, in particular the cervical region, warrants further research. Relevance: Prenatal assessment of the ribs and vertebral pattern by 3D ultrasound, which is currently not routinely performed, might be useful in the assessment of the fetus, because this can predict fetal and neonatal outcome in some cases.
[Mh] Termos MeSH primário: Costela Cervical/diagnóstico por imagem
Anormalidades Musculoesqueléticas
Ultrassonografia Pré-Natal/métodos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Recém-Nascido
Anormalidades Musculoesqueléticas/complicações
Anormalidades Musculoesqueléticas/diagnóstico
Administração dos Cuidados ao Paciente/métodos
Gravidez
Resultado da Gravidez
Prognóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170302
[Lr] Data última revisão:
170302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161223
[St] Status:MEDLINE
[do] DOI:10.1097/OGX.0000000000000388


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[PMID]:27975060
[Au] Autor:Spadlinski L; Cecot T; Majos A; Stefanczyk L; Pietruszewska W; Wysiadecki G; Topol M; Polguj M
[Ad] Endereço:Department of Angiology, Interfaculty Chair of Anatomy and Histology, Medical University of Lódz, Narutowicza 60, 90-136 Lódz, Poland.
[Ti] Título:The Epidemiological, Morphological, and Clinical Aspects of the Cervical Ribs in Humans.
[So] Source:Biomed Res Int;2016:8034613, 2016.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A familiarity with the anatomy of some types of bone anomalies is necessary for clinicians involved in many medical areas. The aim of this paper is to review the newest literature concerning the morphology, embryology, clinical image, and therapeutic methods of the cervical ribs in the humans. The incidence of cervical ribs has been found to vary from 0.58% in Malaysian population to 6.2% in Turkish population. Cervical ribs have clinical implications that are generally divided into neurological or vascular. This study is of particular importance for clinicians, as early identification of cervical ribs may prevent life-threatening complications.
[Mh] Termos MeSH primário: Doenças do Desenvolvimento Ósseo/epidemiologia
Doenças do Desenvolvimento Ósseo/patologia
Costela Cervical/anormalidades
Costela Cervical/patologia
[Mh] Termos MeSH secundário: Doenças do Desenvolvimento Ósseo/diagnóstico
Feminino
Seres Humanos
Incidência
Masculino
Fatores de Risco
Distribuição por Sexo
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161216
[St] Status:MEDLINE


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[PMID]:26233638
[Au] Autor:Kalchiem-Dekel O; Davidesko S; Maimon N
[Ad] Endereço:Department of Medicine B, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. Electronic address: kalchiem@bgu.ac.il.
[Ti] Título:A 64-year old woman with right hand swelling and paresthesia.
[So] Source:Eur J Intern Med;26(10):e59-60, 2015 Dec.
[Is] ISSN:1879-0828
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Anti-Inflamatórios não Esteroides/administração & dosagem
Síndrome da Costela Cervical
Bloqueio Neuromuscular/métodos
Modalidades de Fisioterapia
Síndrome do Desfiladeiro Torácico
[Mh] Termos MeSH secundário: Costela Cervical/diagnóstico por imagem
Síndrome da Costela Cervical/complicações
Síndrome da Costela Cervical/diagnóstico
Diagnóstico Diferencial
Feminino
Seres Humanos
Imagem por Ressonância Magnética/métodos
Meia-Idade
Síndrome do Desfiladeiro Torácico/diagnóstico
Síndrome do Desfiladeiro Torácico/etiologia
Síndrome do Desfiladeiro Torácico/fisiopatologia
Síndrome do Desfiladeiro Torácico/terapia
Tomografia Computadorizada por Raios X/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Inflammatory Agents, Non-Steroidal)
[Em] Mês de entrada:1609
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150803
[St] Status:MEDLINE


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[PMID]:25725278
[Au] Autor:Palmer OP; Weaver FA
[Ad] Endereço:Division of Vascular Surgery and Endovascular Therapy, Keck School of Medicine, University of Southern California, Los Angeles, CA.
[Ti] Título:Bilateral cervical ribs causing cerebellar stroke and arterial thoracic outlet syndrome: a case report and review of the literature.
[So] Source:Ann Vasc Surg;29(4):840.e1-4, 2015 May.
[Is] ISSN:1615-5947
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Stroke is an exceedingly rare presentation of arterial thoracic outlet syndrome (aTOS). This report describes a case of cerebellar stroke secondary to aTOS and reviews the literature. A 56-year-old woman with no previous history of stroke or arm ischemia presented with vertigo. Computed tomography (CT) and magnetic resonance imaging confirmed a left cerebellar ischemic stroke. She subsequently developed ischemia of her left arm, which was treated by a thromboembolectomy. CT angiography revealed bilateral cervical ribs along with bilateral subclavian artery aneurysms. Staged resection of the cervical ribs and reconstruction of the subclavian arteries were performed. Symptomatic arterial thoracic outlet syndrome most commonly presents as arm ischemia because of embolization of intramural clot from a subclavian artery aneurysm or because of thrombosis of the subclavian artery aneurysm itself. In rare cases, the clot can propagate retrograde, resulting in stroke. In young patients presenting with ischemic stroke, arterial thoracic outlet syndrome should be considered as part of the differential diagnosis.
[Mh] Termos MeSH primário: Isquemia Encefálica/etiologia
Doenças Cerebelares/etiologia
Cerebelo/irrigação sanguínea
Costela Cervical/anormalidades
Síndrome do Desfiladeiro Torácico/etiologia
[Mh] Termos MeSH secundário: Isquemia Encefálica/diagnóstico
Doenças Cerebelares/diagnóstico
Feminino
Seres Humanos
Meia-Idade
Síndrome do Desfiladeiro Torácico/diagnóstico
Tomografia Computadorizada por Raios X
Ultrassonografia Doppler Transcraniana
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1602
[Cu] Atualização por classe:150513
[Lr] Data última revisão:
150513
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150301
[St] Status:MEDLINE


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[PMID]:25663255
[Au] Autor:Watanabe T; Yanabashi K; Moriya K; Maki Y; Tsubokawa N; Baba H
[Ad] Endereço:Division of Anesthesiology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan, tatsu-w@med.niigata-u.ac.jp.
[Ti] Título:Ultrasound-guided supraclavicular brachial plexus block in a patient with a cervical rib.
[So] Source:Can J Anaesth;62(6):671-3, 2015 Jun.
[Is] ISSN:1496-8975
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Bloqueio do Plexo Braquial/métodos
Costela Cervical
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Anestésicos Locais/administração & dosagem
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Nm] Nome de substância:
0 (Anesthetics, Local)
[Em] Mês de entrada:1602
[Cu] Atualização por classe:150507
[Lr] Data última revisão:
150507
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150210
[St] Status:MEDLINE
[do] DOI:10.1007/s12630-015-0331-1


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[PMID]:25337663
[Au] Autor:Silva AP; Rosa RF; Trevisan P; Dorneles JC; Mesquita CS; Mattos VF; Paskulin GA; Zen PR
[Ad] Endereço:Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
[Ti] Título:Clinical and cytogenetic features of a Brazilian sample of patients with phenotype of oculo-auriculo-vertebral spectrum: a cross-sectional study.
[So] Source:Sao Paulo Med J;133(3):191-8, 2015 May-Jun.
[Is] ISSN:1806-9460
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:CONTEXT AND OBJECTIVE: Oculo-auriculo-vertebral spectrum (OAVS) is considered to be a defect of embryogenesis involving structures originating from the first branchial arches. Our objective was to describe the clinical and cytogenetic findings from a sample of patients with the phenotype of OAVS. DESIGN AND SETTING: Cross-sectional study in a referral hospital in southern Brazil. METHODS: The sample consisted of 23 patients who presented clinical findings in at least two of these four areas: orocraniofacial, ocular, auricular and vertebral. The patients underwent a clinical protocol and cytogenetic evaluation through high-resolution karyotyping, fluorescence in situ hybridization for 5p and 22q11 microdeletions and investigation of chromosomal instability for Fanconi anemia. RESULTS: Cytogenetic abnormalities were observed in three cases (13%) and consisted of: 47,XX,+mar; mos 47,XX,+mar/46,XX; and 46,XX,t(6;10)(q13; q24). We observed cases of OAVS with histories of gestational exposition to fluoxetine, retinoic acid and crack. One of our patients was a discordant monozygotic twin who had shown asymmetrical growth restriction during pregnancy. Our patients with OAVS were characterized by a broad clinical spectrum and some presented atypical findings such as lower-limb reduction defect and a tumor in the right arm, suggestive of hemangioma/lymphangioma. CONCLUSIONS: We found a wide range of clinical characteristics among the patients with OAVS. Different chromosomal abnormalities and gestational expositions were also observed. Thus, our findings highlight the heterogeneity of the etiology of OAVS and the importance of these factors in the clinical and cytogenetic evaluation of these patients.
[Mh] Termos MeSH primário: Aberrações Cromossômicas
Síndrome de Goldenhar/genética
Fenótipo
[Mh] Termos MeSH secundário: Anormalidades Induzidas por Medicamentos
Adolescente
Adulto
Brasil
Costela Cervical/anormalidades
Costela Cervical/diagnóstico por imagem
Criança
Pré-Escolar
Deleção Cromossômica
Estudos Transversais
Feminino
Seres Humanos
Hibridização in Situ Fluorescente
Lactente
Recém-Nascido
Cariotipagem
Masculino
Mandíbula/anormalidades
Mandíbula/diagnóstico por imagem
Gravidez
Complicações na Gravidez
Radiografia
Teratogênios
Ultrassonografia Pré-Natal
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Teratogens)
[Em] Mês de entrada:1601
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141023
[St] Status:MEDLINE


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[PMID]:25209068
[Au] Autor:Leclercq M; Marie I
[Ad] Endereço:Department of Internal Medicine, CHU Rouen, Rouen, France.
[Ti] Título:Arterial thoracic outlet syndrome.
[So] Source:Rheumatology (Oxford);54(1):44, 2015 Jan.
[Is] ISSN:1462-0332
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Síndrome do Desfiladeiro Torácico/diagnóstico
Síndrome do Desfiladeiro Torácico/etiologia
[Mh] Termos MeSH secundário: Adulto
Costela Cervical/cirurgia
Seres Humanos
Masculino
Artéria Subclávia/diagnóstico por imagem
Artéria Subclávia/fisiopatologia
Tomografia Computadorizada por Raios X
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1503
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:140912
[St] Status:MEDLINE
[do] DOI:10.1093/rheumatology/keu348


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[PMID]:25427003
[Au] Autor:Povlsen B; Hansson T; Povlsen SD
[Ad] Endereço:London Hand Clinic, London Bridge Hospital, 27 Tooley Street, London, UK, SE1 2PR.
[Ti] Título:Treatment for thoracic outlet syndrome.
[So] Source:Cochrane Database Syst Rev;(11):CD007218, 2014 Nov 26.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Thoracic outlet syndrome (TOS) is one of the most controversial diagnoses in clinical medicine. Despite many reports of operative and non-operative interventions, rigorous scientific investigation of this syndrome leading to evidence-based management is lacking. This is the first update of a review first published in 2010. OBJECTIVES: To evaluate the beneficial and adverse effects of the available operative and non-operative interventions for the treatment of TOS a minimum of six months after the intervention. SEARCH METHODS: On 23 June 2014 we searched the Cochrane Neuromuscular Disease Group Trials Specialized Register, CENTRAL, The Database of Abstracts of Reviews of Effects (DARE), MEDLINE, EMBASE, CINAHL Plus and AMED. We also searched reference lists of the identified trials. SELECTION CRITERIA: We selected randomized or quasi-randomized studies involving participants with the diagnosis of TOS of any type (neurogenic, vascular, and 'disputed'), without limitations as to language of publication.We accepted studies that examined any intervention aimed at treating TOS.The primary outcome measure was change in pain rating, measured on a validated visual analog or similar scale at least six months after the intervention.The secondary outcomes were change in muscle strength, disability, experiences of paresthesias (numbness and tingling sensations), and adverse effects of the interventions. DATA COLLECTION AND ANALYSIS: Three authors independently selected the trials to be included and extracted data. Authors rated included studies for risk of bias, according to the methods recommended in the Cochrane Handbook for Systematic Reviews of Interventions. MAIN RESULTS: This review was complicated by a lack of generally accepted criteria for the diagnosis of TOS and had to rely exclusively on the diagnosis of TOS by the investigators in the reviewed studies. We identified one study comparing natural progression with an active intervention. We found three randomized controlled trials (RCTs), but only two of them had a follow-up of six months or more, which was the minimum required follow-up for inclusion in the review. The first trial that met our requirements involved 55 participants with the 'disputed type' of TOS and compared transaxillary first rib resection (TFRR) with supraclavicular neuroplasty of the brachial plexus (SNBP). The trial had a high risk of bias. TFRR decreased pain more than SNBP. There were no adverse effects in either group. The second trial that met these requirements analyzed 37 people with TOS of any type, comparing treatment with a botulinum toxin (BTX) injection into the scalene muscles with a saline placebo injection. This trial had a low risk of bias. There was no significant effect of treatment with the BTX injection over placebo in terms of pain relief or improvements in disability, but it did significantly improve paresthesias at six months' follow-up. There were no adverse events of the BTX treatment above saline injection. AUTHORS' CONCLUSIONS: This review was complicated by a lack of generally accepted diagnostic criteria for the diagnosis of TOS. There was very low quality evidence that transaxillary first rib resection decreased pain more than supraclavicular neuroplasty, but no randomized evidence that either is better than no treatment. There is moderate evidence to suggest that treatment with BTX injections yielded no great improvements over placebo injections of saline. There is no evidence from RCTs for the use of other currently used treatments. There is a need for an agreed definition for the diagnosis of TOS, especially the disputed form, agreed outcome measures, and high quality randomized trials that compare the outcome of interventions with no treatment and with each other.
[Mh] Termos MeSH primário: Síndrome do Desfiladeiro Torácico/terapia
[Mh] Termos MeSH secundário: Toxinas Botulínicas/uso terapêutico
Plexo Braquial/cirurgia
Costela Cervical/cirurgia
Seguimentos
Seres Humanos
Neurotoxinas/uso terapêutico
Ensaios Clínicos Controlados Aleatórios como Assunto
Síndrome do Desfiladeiro Torácico/diagnóstico
Síndrome do Desfiladeiro Torácico/etiologia
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
0 (Neurotoxins); EC 3.4.24.69 (Botulinum Toxins)
[Em] Mês de entrada:1412
[Cu] Atualização por classe:160602
[Lr] Data última revisão:
160602
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141127
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD007218.pub3


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[PMID]:25237978
[Au] Autor:Kinge NG; Paliwal VK; Neyaz Z; Sharma R
[Ti] Título:Retrograde thromboembolic vertebrobasilar artery infarct due to right cervical rib.
[So] Source:Neurol India;62(4):479-80, 2014 Jul-Aug.
[Is] ISSN:0028-3886
[Cp] País de publicação:India
[La] Idioma:eng
[Mh] Termos MeSH primário: Síndrome da Costela Cervical/complicações
Infarto/etiologia
Tromboembolia/etiologia
Insuficiência Vertebrobasilar/etiologia
[Mh] Termos MeSH secundário: Costela Cervical
Seres Humanos
Masculino
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1411
[Cu] Atualização por classe:140920
[Lr] Data última revisão:
140920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140920
[St] Status:MEDLINE
[do] DOI:10.4103/0028-3886.141310



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