Base de dados : MEDLINE
Pesquisa : A09.246.272 [Categoria DeCS]
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[PMID]:29053746
[Au] Autor:Trinkaus E; Villotte S
[Ad] Endereço:Department of Anthropology, Washington University, Saint Louis, Missouri, United States of America.
[Ti] Título:External auditory exostoses and hearing loss in the Shanidar 1 Neandertal.
[So] Source:PLoS One;12(10):e0186684, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Late Pleistocene Shanidar 1 older adult male Neandertal is known for the crushing fracture of his left orbit with a probable reduction in vision, the loss of his right forearm and hand, and evidence of an abnormal gait, as well as probable diffuse idiopathic skeletal hyperostosis. He also exhibits advanced external auditory exostoses in his left auditory meatus and larger ones with complete bridging across the porus in the right meatus (both Grade 3). These growths indicate at least unilateral conductive hearing (CHL) loss, a serious sensory deprivation for a Pleistocene hunter-gatherer. This condition joins the meatal atresia of the Middle Pleistocene Atapuerca-SH Cr.4 in providing evidence of survival with conductive hearing loss (and hence serious sensory deprivation) among these Pleistocene humans. The presence of CHL in these fossils thereby reinforces the paleobiological and archeological evidence for supporting social matrices among these Pleistocene foraging peoples.
[Mh] Termos MeSH primário: Orelha Externa
Exostose
Fósseis
Perda Auditiva Condutiva
Hominidae
Homem de Neandertal
[Mh] Termos MeSH secundário: Animais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171021
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186684


  2 / 9956 MEDLINE  
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[PMID]:28964287
[Au] Autor:Fan X; Wang Y; Wang P; Fan Y; Chen Y; Zhu Y; Chen X
[Ad] Endereço:Department of Otolaryngology, Peking Union Medical College Hospital, Beijing, PR China. Electronic address: 15600747630@163.com.
[Ti] Título:Aesthetic and hearing rehabilitation in patients with bilateral microtia-atresia.
[So] Source:Int J Pediatr Otorhinolaryngol;101:150-157, 2017 Oct.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To evaluate the safety and efficacy of auricle reconstruction and active transcutaneous bone-conduction implantation in patients with bilateral microtia-atresia. DESIGN: Patients were chosen prospectively, with each being his/her own control. SETTING: The setting was a tertiary referral center. PARTICIPANTS: Twelve patients, aged 6-18 years, with bilateral microtia-atresia suffering from bilateral conductive hearing loss. All had an upper bone conduction threshold limit of 45 dB HL at frequencies of 0.5-4 kHz. MAIN OUTCOME MEASURES: Patient satisfaction with the reconstructed auricle was rated as highly satisfactory, basically satisfactory, or unsatisfactory. Mean pure-tone thresholds and speech audiometry test results were compared among patients unaided, with a soft-band Bonebridge, and with an implanted Bonebridge. Subjective satisfaction was analyzed using three questionnaires: the Abbreviated Profile of Hearing Aid Benefit (APHAB), the Glasgow children's benefit inventory (GCBI), and the International Outcome Inventory for Hearing Aids (IOI-HA). RESULTS: All patients who underwent auricle reconstruction expressed satisfaction with their appearance. The mean pure-tone thresholds of unaided patients and those with soft-band and implanted Bonebridge were 55.25 ± 3.43 dBHL, 31.37 ± 3.03 dBHL, and 21.25 ± 2.16 dBHL, respectively. The mean speech discrimination scores measured in a sound field with a presentation level of 65 dB SPL under these three conditions were 46.0 ± 0.11%, 80.0 ± 0.09%, and 94.0 ± 0.02%, respectively. Questionnaires demonstrated patients' benefits and satisfaction with this surgery. CONCLUSIONS: The surgical procedure involving auricle reconstruction and Bonebridge implantation was safe and effective for patients with bilateral microtia-atresia, solving both appearance and hearing problems.
[Mh] Termos MeSH primário: Microtia Congênita/cirurgia
Orelha Externa/cirurgia
Auxiliares de Audição/efeitos adversos
Perda Auditiva Condutiva/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Adolescente
Audiometria da Fala
Criança
Feminino
Audição
Testes Auditivos
Seres Humanos
Masculino
Satisfação do Paciente/estatística & dados numéricos
Estudos Prospectivos
Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171002
[St] Status:MEDLINE


  3 / 9956 MEDLINE  
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[PMID]:28802386
[Au] Autor:Kajosaari L; Pennanen J; Klockars T
[Ad] Endereço:Department of Otorhinolaryngology - Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland. Electronic address: lauri.kajosaari@hus.fi.
[Ti] Título:Otoplasty for prominent ears - demographics and surgical timing in different populations.
[So] Source:Int J Pediatr Otorhinolaryngol;100:52-56, 2017 Sep.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Prominent ears are seen in approximately 5% of the population. This benign condition can be treated surgically to reduce or prevent psychological and social problems, most commonly in children before the start of school. Our aim was to examine the demographic characteristics of patients undergoing prominent ear surgery in Finland, and compare findings with international data. METHODS: A retrospective study of all the patients treated for prominent ears in our academic tertiary care referral center during 2007-2011 was performed to gather demographic details of operated patients. A systematic review of published series of prominent ear surgery after the year 2000 was performed to gather demographic details for international comparison. RESULTS: A total of 180 patients were operated in our institution for prominent ears, most of the cases (78.9%) were bilateral. Age at operation ranged between 3 and 36 years, with mean of 9.2 y and median of 7 y. The most common reason for seeking operative treatment was aesthetic complaint, followed by bullying. Review process gathered 20 publications, describing a total of 4433 patients who had been operated for prominent ears. There was wide variation the mean age at operation, ranging 7-38 y while the mean overall was 15.0y. Gender distribution of patient samples was also very variable, with percentage of females ranging from 38 to 71% (overall 52%). There was also considerable variation in the tendency to perform unilateral operations: from 0% up to 21% of the reported population. There were no statistically significant correlations linking these demographic variables, though there was a trend that females are more likely to have this operation performed at an older age. CONCLUSIONS: The treatment culture of prominent ear surgery varies substantially in international comparison. The age at which this operation is performed showed most variation. Omitting some of the basic demographic variables while reporting the results of surgery was common in the reviewed publications.
[Mh] Termos MeSH primário: Orelha Externa/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Demografia
Orelha Externa/anormalidades
Estética
Feminino
Finlândia
Seres Humanos
Masculino
Duração da Cirurgia
Procedimentos Cirúrgicos Reconstrutivos/estatística & dados numéricos
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170814
[St] Status:MEDLINE


  4 / 9956 MEDLINE  
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[PMID]:28666790
[Au] Autor:Yu X; Yang Q; Jiang H; Pan B; Zhao Y; Lin L
[Ad] Endereço:7th Department, Peking Union Medical College, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100144, China. Electronic address: 15810292758@163.com.
[Ti] Título:Surgical correction of cryptotia combined with an ultra-delicate split-thickness skin graft in continuity with a full-thickness skin rotation flap.
[So] Source:J Plast Reconstr Aesthet Surg;70(11):1620-1623, 2017 Nov.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cryptotia is a common congenital ear deformity in Asian populations. In cryptotia, a portion of the upper ear is hidden and fixed in a pocket of the skin of the mastoid. Here we describe our method for cryptotia correction by using an ultra-delicate split-thickness skin graft in continuity with a full-thickness skin rotation flap. PATIENTS AND METHODS: We developed a new method for correcting cryptotia by using an ultra-delicate split-thickness skin graft in continuity with a full-thickness skin rotation flap. Following ear release, the full-thickness skin rotation flap is rotated into the defect, and the donor site is covered with an ultra-delicate split-thickness skin graft raised in continuity with the flap. RESULTS: All patients exhibited satisfactory release of cryptotia. No cases involved partial or total flap necrosis, and post-operative outcomes using this new technique for cryptotia correction have been more than satisfactory. CONCLUSIONS: Our method of using an ultra-delicate split-thickness skin graft in continuity with a full-thickness skin rotation flap to correct cryptotia is simple and reliable.
[Mh] Termos MeSH primário: Deformidades Adquiridas da Orelha/cirurgia
Orelha Externa/anormalidades
Orelha Externa/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Transplante de Pele/métodos
Retalhos Cirúrgicos
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Masculino
Período Pós-Operatório
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170702
[St] Status:MEDLINE


  5 / 9956 MEDLINE  
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[PMID]:28654603
[Au] Autor:Economides JM; Baker SB
[Ad] Endereço:Washington, D.C. From the Department of Plastic Surgery, MedStar-Georgetown University Hospital.
[Ti] Título:Discussion: A Morphometric Study of the Newborn Ear and an Analysis of Factors Related to Congenital Auricular Deformities.
[So] Source:Plast Reconstr Surg;140(1):156-157, 2017 07.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Orelha Externa/anormalidades
Contenções
[Mh] Termos MeSH secundário: Deformidades Adquiridas da Orelha
Seres Humanos
Recém-Nascido
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170810
[Lr] Data última revisão:
170810
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003488


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[PMID]:28617404
[Au] Autor:Chkadua TZ; Asirova GV; Mustafina FK; Chernenkiy MM; Frolov SS; Vejze DL
[Ad] Endereço:Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
[Ti] Título:[Reconstructive otoplasty: differentiated approach to rib cartilage processing and ear framework formation using carving technique].
[Ti] Título:Rekonstruktivnaia otoplastika: differentsirovannyi podkhod k vyboru metoda obrabotki autorebernogo khriashcha i formirovaniia karkasa ushnoi rakoviny pri pomoshchi karving-tekhniki..
[So] Source:Stomatologiia (Mosk);96(3):30-35, 2017.
[Is] ISSN:0039-1735
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The aim of the research was to optimize surgical rehabilitation of patients with auricle defects and deformities by the developing of differentiated approach to the choice of reconstructive otoplasty method. The study involved 30 patients with auricle defects and deformities of congenital (20 patients) and acquired (10 patients) etiology. The defects were total in 25 patients and partial in 5 patients. All patients underwent ear reconstruction with rib cartilage using carving technique. Preoperative planning was based in Doppler ultrasound of temporal region vessels, laser Doppler flowmetry, temporal skin ultrasound and 3D ribcage CT. The surgical tactic was selected according to the possibility of mastoid region skin usage or necessity of the temporoparietal fascial flap. The approach proved to be highly efficient as otoplasty outcomes were good in 80% of cases, satisfactory in 10% and unsatisfactory in 10%.
[Mh] Termos MeSH primário: Cartilagem/cirurgia
Deformidades Adquiridas da Orelha/cirurgia
Orelha Externa/anormalidades
Orelha Externa/cirurgia
Costelas/cirurgia
Retalhos Cirúrgicos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Procedimentos Cirúrgicos Reconstrutivos/reabilitação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170810
[Lr] Data última revisão:
170810
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170616
[St] Status:MEDLINE
[do] DOI:10.17116/stomat201796330-35


  7 / 9956 MEDLINE  
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[PMID]:28614529
[Au] Autor:Paiva ALC; Araujo JLV; Ferraz VR; Veiga JCE
[Ad] Endereço:Neurosurgery Resident, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.
[Ti] Título:Facial paralysis due to Ramsay Hunt syndrome - A rare condition.
[So] Source:Rev Assoc Med Bras (1992);63(4):301-302, 2017 Apr.
[Is] ISSN:1806-9282
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Ramsay Hunt syndrome (or herpes zoster oticus) is a rare complication of herpes zoster in which reactivation of latent varicella zoster virus infection in the geniculate ganglion occurs. Usually, there are auricular vesicles and symptoms and signs such otalgia and peripheral facial paralysis. In addition, rarely, a rash around the mouth can be seen. Immunodeficient patients are more susceptible to this condition. Diagnosis is essentially based on symptoms. We report the case of a diabetic female patient who sought the emergency department with a complaint of this rare entity.
[Mh] Termos MeSH primário: Paralisia Facial/virologia
Herpes Zoster da Orelha Externa/complicações
[Mh] Termos MeSH secundário: Idoso
Orelha Externa/virologia
Feminino
Perda Auditiva/virologia
Seres Humanos
Fotografia
Doenças Raras
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE


  8 / 9956 MEDLINE  
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[PMID]:28576531
[Au] Autor:Choo OS; Kim T; Jang JH; Choung YH
[Ad] Endereço:Department of Otolaryngology, Ajou University School of Medicine, 164, World cup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 443-380, Republic of Korea. Electronic address: oaksung_83@hanmail.net.
[Ti] Título:The clinical efficacy of early intervention for infected preauricular sinus.
[So] Source:Int J Pediatr Otorhinolaryngol;95:45-50, 2017 Apr.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The study was designed to evaluate the outcomes of early surgical intervention, and to suggest the accurate operation time and surgical strategies. METHODS: A total of 190 cases (144 patients) of PAS excision were classified into 2 groups according to their time of surgery; early intervention group (n = 53), and non-early intervention group (n = 137). Early intervention was defined as excision performed within 3 weeks from their first hospital visit, and after acute infection control, surgical removal was followed regardless of their infection status. The mean age of patients was 18.3 ± 15.7 years old (62 male, 82 female). During surgery, a parallel incision was added when iatrogenic fistula due to incision and drainage (I &D) or additionally opened wounds caused by infection was present. RESULTS: Cases of I & D history, revision cases, use of preoperative antibiotics were significantly higher in the early intervention group compared to the non-early intervention group, however, the time of surgery did not affect the complication rate (p = 0.533). Within the infected cases, only 1 patient from the non-early intervention group showed a minor complication of keloid scar. During our follow up period of minimum of 6 months, there was no recurrence in either groups. CONCLUSION: The early intervention of PASs does not seem to increase postoperative complication or recurrence rates. A double parallel skin incision is a simple but adequate technique to treat infected PASs.
[Mh] Termos MeSH primário: Anormalidades Craniofaciais/cirurgia
Orelha Externa/cirurgia
Procedimentos Cirúrgicos Otorrinolaringológicos/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Drenagem
Feminino
Seres Humanos
Lactente
Masculino
Meia-Idade
Procedimentos Cirúrgicos Otorrinolaringológicos/efeitos adversos
Complicações Pós-Operatórias
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170604
[St] Status:MEDLINE


  9 / 9956 MEDLINE  
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[PMID]:28445373
[Au] Autor:Qian J; Li Z; Liu T; Zhou X; Zhang Q
[Ad] Endereço:Beijing, People's Republic of China From the Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College.
[Ti] Título:Auricular Reconstruction in Hemifacial Microsomia with an Expanded Two-Flap Method.
[So] Source:Plast Reconstr Surg;139(5):1200-1209, 2017 May.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Reconstruction of external ear is important for the child/adult with craniofacial deformities to achieve balance and harmony of the face and head. The aim of this study was to investigate the clinical application of an expanded two-flap method for auricular reconstruction in hemifacial microsomia. METHODS: Between January of 2014 and November of 2015, 111 hemifacial microsomia patients with microtia underwent auricular reconstruction with an expanded two-flap method. The clinical data of these patients were reviewed retrospectively. Thirty-two patients (28.8 percent) underwent auricular reconstruction in combination with simultaneous mandibular lengthening. Microtia was treated by an expanded two-flap method, which includes three stages. In the first stage, the retroauricular skin was expanded using a kidney-shaped tissue expander. In the second stage, the costal cartilage was harvested and the framework was fabricated. The anterior surface of the framework was enveloped by the expanded skin flap. The posterior surface and the helical rim of the framework is covered by a retroauricular fascial flap and a full-thickness skin graft. In the third stage, the tragus was reconstructed, the lobule was formed, and the concha was excavated. The surgical planning and skills of auricular reconstruction-especially for hemifacial microsomia-were described and analyzed. The median duration of follow-up was 8.3 months. RESULTS: There were nine cases (8.1 percent) of complications in our study. During follow-up, 103 patients (92.8 percent) had satisfactory outcomes, seven (6.3 percent) had partially satisfactory outcomes, and one patient (0.9 percent) had an unsatisfactory outcome. CONCLUSION: Auricular reconstruction using an expanded two-flap method in hemifacial microsomia is safe and effective, with satisfying middle-term results. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
[Mh] Termos MeSH primário: Microtia Congênita/etiologia
Microtia Congênita/cirurgia
Orelha Externa/cirurgia
Síndrome de Goldenhar/complicações
Procedimentos Cirúrgicos Reconstrutivos/métodos
Retalhos Cirúrgicos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170427
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003280


  10 / 9956 MEDLINE  
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[PMID]:28438303
[Au] Autor:Oda N; Maruhashi T; Kishimoto S; Kajikawa M; Iwamoto Y; Iwamoto A; Matsui S; Hidaka T; Kihara Y; Chayama K; Goto C; Aibara Y; Nakashima A; Noma K; Hirano H; Higashi Y
[Ad] Endereço:Department of Cardiovascular Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
[Ti] Título:Relation of the Bilateral Earlobe Crease to Endothelial Dysfunction.
[So] Source:Am J Cardiol;119(12):1983-1988, 2017 Jun 15.
[Is] ISSN:1879-1913
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The presence of an earlobe crease (ELC) may be a simple sign to predict atherosclerosis. We evaluated the relation between ELC and vascular function. We measured flow-mediated vasodilation (FMD) and nitroglycerine-induced vasodilation (NID) and observed bilateral earlobes in 400 consecutive subjects. At first, the subjects were divided into 3 groups: non-ELC group, unilateral ELC group, and bilateral ELC group. FMD and NID were significantly lower in the unilateral and bilateral ELC groups than those in the non-ELC group. After adjustment of cardiovascular risk factors, bilateral ELC, but not unilateral ELC, was associated with lower FMD and lower NID. We also investigated whether an increase in the number of ELCs worsens endothelial function, whether the difference in ELC structure (cross stripes and/or ramification) affects endothelial function, and whether endothelial function is impaired in subjects with superficial wrinkles depending on age. The number of ELCs, shape of the ELC, and superficial wrinkles were not associated with endothelial dysfunction. In conclusion, these findings suggest that the presence of bilateral ELCs is associated with vascular dysfunction.
[Mh] Termos MeSH primário: Aterosclerose/fisiopatologia
Orelha Externa
Endotélio Vascular/fisiopatologia
Vasodilatação/fisiologia
[Mh] Termos MeSH secundário: Idoso
Aterosclerose/epidemiologia
Aterosclerose/metabolismo
Feminino
Seres Humanos
Incidência
Japão/epidemiologia
Masculino
Meia-Idade
Estudos Prospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170426
[St] Status:MEDLINE



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