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Pesquisa : A16.890 [Categoria DeCS]
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[PMID]:29381965
[Au] Autor:Wu J; Liu A; Chen A; Zhang P
[Ad] Endereço:Department of Radiology.
[Ti] Título:Urachal borderline mucinous cystadenoma: A rare case report and literature review.
[So] Source:Medicine (Baltimore);96(47):e8740, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Urachal borderline mucinous cystadenoma is very rare and has only 9 cases in the current literature with the biological behavior between adenoma and adenocarcinoma. PATIENT CONCERNS: We reported a 41-year-old man with moderate lower abdominal pain, and the imaging examination found an irregular cystic lesion extending from umbilicus to the dome of urinary bladder with significant separations and calcifications. DIAGNOSES: The diagnosis was confirmed according to the specific anatomical location and pathological examination which was proved as mucinous cystadenoma with low malignant potential. INTERVENTIONS: The patient undertook radical excision and partial cystectomy. OUTCOMES: His postoperative condition was good. LESSONS: Urachal borderline mucinous cystadenoma can be located by image examination, which may also offer several diagnostic tips according to separation, calcification, and enhancement in computed tomography scan. When combined with pathological findings, qualitative diagnosis can be determined. Surgical resection should be chosen as an optimal treatment. Our present study reviewed the clinical and biological information of all previous cases which were diagnosed as urachal borderline mucinous cystadenoma and we supplemented more data for further study.
[Mh] Termos MeSH primário: Cistadenoma Mucinoso/diagnóstico
Neoplasias dos Genitais Masculinos/diagnóstico
Úraco/patologia
[Mh] Termos MeSH secundário: Adulto
Cistadenoma Mucinoso/patologia
Cistadenoma Mucinoso/cirurgia
Cistectomia
Neoplasias dos Genitais Masculinos/patologia
Neoplasias dos Genitais Masculinos/cirurgia
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008740


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[PMID]:29181994
[Au] Autor:Martin AJ; McDonald L; Gopal M
[Ad] Endereço:Newcastle University UK.
[Ti] Título:Urachal remnant causing umbilical in-drawing during micturition.
[So] Source:Ann R Coll Surg Engl;100(2):e31-e33, 2018 Feb.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The urachus is a vestigial remnant of the allantois, which is normally obliterated during fetal life to become the median umbilical ligament, which runs between the urinary bladder and umbilicus in adults. Failure of obliteration leaves a tubular urachal remnant, which may present with disease. We report a unique case of a urachal remnant causing umbilical pain and in-drawing on micturition in a nine-year-old boy. There was no urine discharge from the umbilicus and in-drawing did not occur on defecation. His urinary stream was normal. High frequency ultrasonography revealed a thick band with a narrow, anechoic, fluid filled central channel. Exploration via an infraumbilical curvilinear incision identified a thick urachal band that could be traced to the dome of the bladder. This was excised flush with the bladder. The patient remains well at nine months following surgery with complete cessation of symptoms.
[Mh] Termos MeSH primário: Umbigo
Úraco
Doenças Urológicas
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Masculino
Umbigo/fisiopatologia
Umbigo/cirurgia
Úraco/anormalidades
Úraco/diagnóstico por imagem
Úraco/fisiopatologia
Doenças Urológicas/fisiopatologia
Doenças Urológicas/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2017.0197


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[PMID]:28466617
[Au] Autor:Sukhotnik I; Aranovich I; Mansur B; Matter I; Kandelis Y; Halachmi S
[Ad] Endereço:Department of Pediatric Surgery, Bnai Zion Medical Center, Haifa, Israel.
[Ti] Título:Laparoscopic Surgery of Urachal Anomalies: A Single-Center Experience.
[So] Source:Isr Med Assoc J;18(11):673-676, 2016 Nov.
[Is] ISSN:1565-1088
[Cp] País de publicação:Israel
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The traditional surgical approach to the excision of persistent urachal remnants is a lower midline laparotomy or semicircular infraumbilical incision. OBJECTIVES: To report our experience with laparoscopic/open urachus excision as a minimally invasive diagnostic and surgical technique. METHODS: This was a retrospective study involving patients who were diagnosed with persistent urachus and underwent laparoscopic/open excision. The morbidity, recovery, and outcomes of surgery were reviewed. RESULTS: Eight patients (males:females 6:2) with an age range of 1 month to 17 years underwent laparoscopic or open excision (six and two patients respectively). All patients presented with discharge from the umbilicus. Although three patients had no sonographic evidence of a patent urachus, diagnostic laparoscopy detected a patent urachus that was excised laparoscopically. The operative time of laparoscopic surgery ranged from 19 to 71 minutes (the last case was combined with bilateral laparoscopic inguinal hernia repair), and the mean duration of hospital stay was 2.0 ± 0.36 days. Pathological examination confirmed a benign urachal remnant in all cases. CONCLUSIONS: Laparoscopy is a useful alternative for the management of persistent or infected urachus, especially when its presence is clinically suspected despite the lack of sonographic evidence. The procedure is associated with low morbidity, although a small risk of bladder injury exists, particularly in cases of severe active inflammation.
[Mh] Termos MeSH primário: Laparoscopia/métodos
Úraco/cirurgia
Procedimentos Cirúrgicos Urológicos/métodos
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Tempo de Internação
Masculino
Duração da Cirurgia
Estudos Retrospectivos
Resultado do Tratamento
Úraco/anormalidades
Úraco/diagnóstico por imagem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE


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[PMID]:28858081
[Au] Autor:Liang L; Zhou N; Xu H; Liu D; Lu Y; Li F; Guo J
[Ad] Endereço:aDepartment of Ultrasound, Aero Space Central Hospital, Beijing, China bDepartment of Surgery, Aero Space Central Hospital, Beijing, China cDepartment of Pathology, Aero Space Central Hospital, Beijing, China.
[Ti] Título:Urachal mucinous adenocarcinoma with pseudomyxoma peritonei: A case report.
[So] Source:Medicine (Baltimore);96(35):e7548, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Pseudomyxoma peritonei is an unusual clinical condition, and the appendix and ovaries are reported as the primary sites. PATIENT CONCERNS: A 44-year-old man who was reported a 3-month history of lower abdominal pain and distention, along with increased abdominal girth, was admitted with a palpable tender mass in the central lower abdomen. DIAGNOSIS: Ultrasonography showed a large well-circumscribed cystic-solid mass with lobulated margin, extending from the anterosuperior dome of the urinary bladder to the anterior abdominal wall. A computed tomography (CT) scan revealed a midline heterogeneous, hypodense, irregular polycystic-solid mass adjacent to the anterior wall of the abdomen and anterior to the dome of the urinary bladder. fluorodeoxyglucose positron-emission tomography/CT showed intense fluorodeoxyglucose uptake in the thickened wall of the mass. Intraperitoneal laparoscopic exploration also revealed a midline abdominal mass adjacent to the dome of the urinary bladder. Laparotomy showed that the mass originated from the dome of the urinary bladder and was disconnected with the urinary bladder lumen. The final histopathological diagnosis was urachal mucinous adenocarcinoma associated with high-grade pseudomyxoma peritonei. INTERVENTIONS: The patient underwent surgical cytoreductive procedure and the perioperative intraperitoneal chemotherapy. OUTCOMES: The patient made an uneventful recovery, and 7 months later had no recurrence. LESSONS: The urachus is a tubular structure, which extends medially from the apex of the bladder to the allantoid during fetal development, and it usually obliterates after birth. Urachal remnants can cause urachal carcinoma or bladder cancers. Pseudomyxoma peritonei originating from mucinous neoplasm of the urachus is extremely rare.
[Mh] Termos MeSH primário: Cistadenocarcinoma Mucinoso/diagnóstico
Neoplasias Peritoneais/diagnóstico
Pseudomixoma Peritoneal/diagnóstico
Úraco/patologia
Neoplasias da Bexiga Urinária/diagnóstico
[Mh] Termos MeSH secundário: Dor Abdominal/etiologia
Adulto
Cistadenocarcinoma Mucinoso/diagnóstico por imagem
Cistadenocarcinoma Mucinoso/patologia
Cistadenocarcinoma Mucinoso/cirurgia
Diagnóstico Diferencial
Seres Humanos
Laparoscopia
Masculino
Neoplasias Peritoneais/diagnóstico por imagem
Neoplasias Peritoneais/secundário
Neoplasias Peritoneais/cirurgia
Pseudomixoma Peritoneal/diagnóstico por imagem
Pseudomixoma Peritoneal/cirurgia
Tomografia Computadorizada por Raios X
Ultrassonografia
Neoplasias da Bexiga Urinária/diagnóstico por imagem
Neoplasias da Bexiga Urinária/patologia
Neoplasias da Bexiga Urinária/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007548


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[PMID]:28694414
[Au] Autor:Yanishi M; Kinoshita H; Koito Y; Taniguchi H; Mishima T; Yasuda K; Komai Y; Watanabe M; Sugi M; Matsuda T
[Ad] Endereço:The Department of Urology and Andrology, Hirakata Hospital, Kansai Medical University.
[Ti] Título:[Devices to Perform Laparo-Endoscopic Single Site Surgery for Urachal Remnants without Additional Ports].
[So] Source:Hinyokika Kiyo;63(6):225-228, 2017 Jun.
[Is] ISSN:0018-1994
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:The laparoscopic management of urachal remnants has gradually become a common practice. Recently, laparoscopic single-site surgery (LESS), a minimally invasive approach that provides excellent cosmetic results, has been adopted in several surgical procedures for treating urachal remnants. However, when suturing the bladder wall or peritoneal defect during LESS it may be difficult to conduct the procedure manually, and such cases require an additional port for suturing. Our strategy, however, employs a knot pusher to perform the suturing without the need for an additional port. We compared and examined the perioperative parameters of the patients with the additional port and one without it (knot-pusher group). For the additional-port and knot-pusher groups, the average operative time, was 146.8 and 161.7 minutes respectively, pneumoperitoneal surgery time was 90.8 and 88.0 minutes, respectively, suturing time for the bladder wall was 577 and 502 seconds, respectively suturing time for peritoneal defect was 758 vs 779 seconds, respectively, and estimated blood loss was 19 and 9.6 ml, respectively ; there being no significant difference between the two groups. We report our knot-pusher method because it can achieve comparable results without compromising the surgical outcome.
[Mh] Termos MeSH primário: Laparoscopia/métodos
Doenças da Bexiga Urinária/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Feminino
Seres Humanos
Laparoscopia/instrumentação
Masculino
Meia-Idade
Duração da Cirurgia
Úraco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE
[do] DOI:10.14989/ActaUrolJap_63_6_225


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[PMID]:28061801
[Au] Autor:Bi X; Wu Z; Han H; Zhou F
[Ad] Endereço:Department of Urology, Tumor Hospital affiliated with the Xinjiang Medical University, Urumqi, 830011, Xinjiang, P. R. China.
[Ti] Título:Clinical comparison of patients with benign urachal masses versus urachal carcinomas.
[So] Source:Chin J Cancer;36(1):2, 2017 Jan 07.
[Is] ISSN:1944-446X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The clinical features of 17 patients with benign urachal masses and 30 patients with urachal carcinoma treated at Sun Yat-sen University Cancer Center were analyzed retrospectively. Univariate analysis indicated that seven parameters differed significantly between the two groups. Binary logistic regression analyses showed that the rate of gross hematuria was significantly higher (P = 0.042, Exp[B] = 7.889) and the rate of fatty infiltration of the Retzius space was significantly lower (P = 0.006, Exp[B] = 0.028) in patients with urachal carcinoma than in those with benign urachal masses. Gross hematuria and fatty infiltration of the Retzius space may be indications of malignant and benign urachal masses, respectively.
[Mh] Termos MeSH primário: Hematúria/etiologia
Cisto do Úraco/diagnóstico
Úraco/patologia
Neoplasias da Bexiga Urinária/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Idoso
Diagnóstico Diferencial
Feminino
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Estudos Retrospectivos
Neoplasias da Bexiga Urinária/complicações
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; LETTER
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170108
[St] Status:MEDLINE
[do] DOI:10.1186/s40880-016-0173-4


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[PMID]:28044180
[Au] Autor:Haac B; Garcia A; Moore J
[Ad] Endereço:Division of Pediatric Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
[Ti] Título:Urachal remnant presenting as a giant, cystic umbilical cord.
[So] Source:Pediatr Surg Int;33(3):393-395, 2017 Mar.
[Is] ISSN:1437-9813
[Cp] País de publicação:Germany
[La] Idioma:eng
[Mh] Termos MeSH primário: Cordão Umbilical/anormalidades
Cordão Umbilical/cirurgia
Cisto do Úraco/cirurgia
Úraco/anormalidades
Úraco/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Recém-Nascido
Masculino
Bexiga Urinária/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170104
[St] Status:MEDLINE
[do] DOI:10.1007/s00383-016-4040-9


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[PMID]:27834569
[Au] Autor:Yanishi M; Kinoshita H; Mishima T; Taniguchi H; Yoshida K; Komai Y; Yasuda K; Watanabe M; Sugi M; Matsuda T
[Ad] Endereço:a Department of Urology and Andrology , Kansai Medical University , Hirakata , Osaka , Japan.
[Ti] Título:Influence of scars on body image consciousness with respect to gender following laparoendoscopic single-site versus conventional laparoscopic surgery.
[So] Source:Scand J Urol;51(1):57-61, 2017 Feb.
[Is] ISSN:2168-1813
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this study was to evaluate and compare the cosmetic outcomes of laparoscopic single-site surgery (LESS) and conventional laparoscopy (CL) in the treatment of ureteropelvic junction obstruction (UPJO) and urachal remnant removal. LESS is thought to produce better cosmetic results than CL; however, patients' perception of their scars has not been assessed. This study compared the subjective body image and cosmesis ratings of patients who had undergone LESS or CL for UPJO and urachal remnant removal. MATERIALS AND METHODS: Fifty patients who underwent LESS or CL for UPJO or urachal remnant removal between June 2008 and June 2015 were included. Cosmetic outcomes were evaluated using the Body Image Questionnaire (BIQ) and Photo-Series Questionnaire (PSQ). RESULTS: The body image and cosmetic scores were significantly higher for patients who underwent LESS than for those who underwent CL, for both pyeloplasty and urachal remnant removal (p < .05 each). When performed for either a pyeloplasty or urachal remnant removal, significantly greater BIQ and PSQ scores were observed in females after LESS compared to CL, but not in males. CONCLUSION: LESS for UPJO and urachal remnant removal has better self-reported body image and cosmesis ratings than CL. This trend is particularly strong in female patients.
[Mh] Termos MeSH primário: Imagem Corporal
Cicatriz
Pelve Renal/cirurgia
Laparoscopia/métodos
Úraco/cirurgia
Obstrução Ureteral/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estética
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Fatores Sexuais
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161112
[St] Status:MEDLINE
[do] DOI:10.1080/21681805.2016.1250811


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[PMID]:27766543
[Au] Autor:Tsukui H; Koinuma K; Morimoto M; Horie H; Lefor AK; Kagaya Y; Takahashi H; Yano T; Matsubara D; Yamamoto H; Sata N
[Ad] Endereço:Department of Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan. yesterdayoncemore0228@gmail.com.
[Ti] Título:Crohn's disease presenting as a ceco-urachal fistula.
[So] Source:Clin J Gastroenterol;10(1):32-36, 2017 Feb.
[Is] ISSN:1865-7265
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:We report the case of a patient with Crohn's disease who initially presented with a ceco-urachal fistula. The patient was a 31-year-old female who underwent an appendectomy 6 years before presenting to our institution. She had a one-year history of diarrhea, and had recently developed polyuria and a sensation of residual urine. She was admitted with fever and lower abdominal pain. Endoscopy and computed tomography revealed a ceco-urachal fistula, which was consistent with Crohn's disease. An urachal resection was performed, which included partial cystectomy and ileocecal resection. A ceco-urachal fistula is a rare initial symptom of Crohn's disease. During the surgical management of such cases, it is necessary to resect the urachus, the affected portion of the bladder, the fistula, and the affected part of the digestive tract in order to avoid recurrence.
[Mh] Termos MeSH primário: Doenças do Ceco/etiologia
Doença de Crohn/complicações
Fístula Intestinal/etiologia
Úraco
[Mh] Termos MeSH secundário: Adulto
Doenças do Ceco/diagnóstico
Doenças do Ceco/cirurgia
Colonoscopia
Enteroscopia de Duplo Balão
Feminino
Seres Humanos
Doenças do Íleo/diagnóstico
Doenças do Íleo/etiologia
Doenças do Íleo/cirurgia
Fístula Intestinal/diagnóstico
Fístula Intestinal/cirurgia
Tomografia Computadorizada por Raios X
Úraco/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:171110
[Lr] Data última revisão:
171110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161022
[St] Status:MEDLINE
[do] DOI:10.1007/s12328-016-0691-2


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[PMID]:27322711
[Au] Autor:Suma TL; Ramanathan S; Padma M; Appaji L; Suma MN
[Ad] Endereço:Departments of *Paediatric Oncology †Pathology, Kidwai Memorial Institute, of Oncology, Bengaluru, Karnataka, India.
[Ti] Título:A Case of Urachal Yolk Sac Tumor With Spontaneous Rupture in a Child.
[So] Source:J Pediatr Hematol Oncol;39(2):e82-e84, 2017 Mar.
[Is] ISSN:1536-3678
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Tumors arising from urachus in children are exceedingly rare and sporadically reported in literature. Being a midline structure, the urachus may harbor neoplastic germ cell elements and can occasionally present as a case of acute abdomen. A 20-month-old toddler presented with spontaneous rupture of an urachal yolk sac tumor causing hemoperitoneum. He underwent resection, received platinum-based chemotherapy and presently remains well on follow-up. Despite its rarity, urachal germ cell tumors must be considered in a child with acute abdomen and tumor markers must be measured preemptively in such cases.
[Mh] Termos MeSH primário: Tumor do Seio Endodérmico/complicações
Hemoperitônio/etiologia
Úraco/diagnóstico por imagem
Neoplasias da Bexiga Urinária/complicações
[Mh] Termos MeSH secundário: Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico
Biomarcadores Tumorais/análise
Bleomicina/administração & dosagem
Carboplatina/administração & dosagem
Terapia Combinada
Consanguinidade
Emergências
Tumor do Seio Endodérmico/química
Tumor do Seio Endodérmico/diagnóstico por imagem
Tumor do Seio Endodérmico/terapia
Etoposídeo/administração & dosagem
Seres Humanos
Lactente
Laparotomia
Masculino
Ruptura Espontânea
Tomografia Computadorizada por Raios X
Neoplasias da Bexiga Urinária/química
Neoplasias da Bexiga Urinária/diagnóstico por imagem
Neoplasias da Bexiga Urinária/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers, Tumor); 11056-06-7 (Bleomycin); 6PLQ3CP4P3 (Etoposide); BG3F62OND5 (Carboplatin)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160621
[St] Status:MEDLINE
[do] DOI:10.1097/MPH.0000000000000615



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