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[PMID]:29505535
[Au] Autor:Yokoyama Y; Kakudate N; Sumida F; Matsumoto Y; Gordan VV; Gilbert GH
[Ad] Endereço:Graduate School of Media and Governance, Keio University, Fujisawa City, Kanagawa.
[Ti] Título:Dentist's distress in the management of chronic pain control: The example of TMD pain in a dental practice-based research network.
[So] Source:Medicine (Baltimore);97(1):e9553, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We aimed to obtain greater understanding of dentists' distress when they diagnose and treat patients with temporomandibular disorders (TMD), and to explore ways in which TMD can be better treated.We conducted a cross-sectional study based on a questionnaire survey of dentists (n = 148). Dentists were queried using an open-ended questionnaire about distress they experienced when treating patients with TMD. Survey responses were analyzed using mixed methods. Associations between specific dentist and patient characteristics and types of distress were analyzed by one way analysis of variance and residual analysis.One hundred thirteen clinicians responded to the questionnaire, giving a 76% response rate. Thematic analysis identified 6 major themes: difficulty in predicting therapeutic effect and prognosis; difficulty in diagnosis; difficulty in the decision about whether to do occlusal adjustment; difficulty in specifying a cause; difficulty in communicating with patients and mental factors; and health insurance system barriers. Clinicians who reported difficulty in deciding whether to do occlusal adjustment saw significantly more patients who experienced shoulder stiffness and headache (P = .008 and P = .022, respectively). Dentists' knowledge of TMD guidelines was associated with a lower percentage of difficulty in predicting therapeutic effect and prognosis (residual analysis; P = .010).These findings provide important insights into clinician's perception of difficulties with patients experiencing TMD-related pain. Knowledge of the existence of TMD clinical practice guidelines may lower dentist distress, particularly with regard to prognosis. Further studies are needed to decrease dentist's distress and to overcome the evidence-practice gap in TMD treatment.
[Mh] Termos MeSH primário: Odontólogos/psicologia
Manejo da Dor/psicologia
Transtornos da Articulação Temporomandibular
[Mh] Termos MeSH secundário: Adulto
Dor Crônica/etiologia
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180306
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009553


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[PMID]:29364827
[Au] Autor:Verma R; Jena AK; Singh SP; Utreja AK; Rattan V
[Ad] Endereço:Department of Orthodontics and Dentofacial Orthopedics, Gian Sagar Dental College and Hospital, Ramnagar, Banur, Punjab, India. rashmiverma.in@gmail.com.
[Ti] Título:Multidisciplinary management of post-ankylosis malocclusion and mandibular deformity.
[So] Source:J Clin Orthod;51(12):809-819, 2017 Dec.
[Is] ISSN:0022-3875
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Anquilose/terapia
Transtornos da Articulação Temporomandibular
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
Má Oclusão/etiologia
Má Oclusão/terapia
Equipe de Assistência ao Paciente
Retrognatismo/etiologia
Retrognatismo/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE


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[PMID]:29267668
[Au] Autor:Costa SAP; Florezi GP; Artes GE; Costa JRD; Gallo RT; Freitas PM; Witzel AL
[Ad] Endereço:Universidade de São Paulo, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.
[Ti] Título:The analgesic effect of photobiomodulation therapy (830 nm) on the masticatory muscles: a randomized, double-blind study.
[So] Source:Braz Oral Res;31:e107, 2017 Dec 18.
[Is] ISSN:1807-3107
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:This study assesses the efficacy of photobiomodulation therapy (830 nm) for myalgia treatment of masticatory muscles. Sixty patients with muscular myalgia were selected and randomly allocated into 2 groups (n=30): Group A comprised patients given a placebo (control), and Group B consisted of those undergoing photobiomodulation therapy (PBMT). PBMT and placebo were applied bilaterally to specific points on the masseter and temporal muscles. Referred pain elicited by palpation and maximum mouth opening were measured before (EV1) and after (EV2) the treatments. The data were analyzed using statistical tests, considering a significance level of 5%. No significant differences in range were observed for active or passive mouth opening (p ≥ 0.05). Comparing the final outcomes (EV1-EV2) of both treatments, statistical significance was verified for total pain in the right masseter muscle (p = 0.001) and total pain (p = 0.005). In EV2, significant differences in pain reported with palpation were found between Groups A and B for the following: left posterior temporal muscle (p = 0.025), left superior masseter muscle (p = 0.036), inferior masseter muscle (p = 0.021), total pain (left side) (p = 0.009), total masseter muscle (left side) (p = 0.014), total temporal (left side) (p = 0.024), and total pain (p = 0.035). We concluded that PBMT (830 nm) reduces pain in algic points, but does not influence the extent of mouth opening in patients with myalgia.
[Mh] Termos MeSH primário: Terapia com Luz de Baixa Intensidade/métodos
Músculo Masseter/efeitos da radiação
Mialgia/radioterapia
Músculo Temporal/efeitos da radiação
Transtornos da Articulação Temporomandibular/radioterapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Dor Crônica/radioterapia
Método Duplo-Cego
Feminino
Seres Humanos
Masculino
Meia-Idade
Medição da Dor
Dose de Radiação
Valores de Referência
Reprodutibilidade dos Testes
Estatísticas não Paramétricas
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


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[PMID]:28459248
[Au] Autor:Germain L; Malcmacher L
[Ad] Endereço:Faculty, American Academy of Facial Esthetics; Private Practice, New Orleans, Louisiana.
[Ti] Título:Frontline Temporomandibular Joint/Orofacial Pain Therapy for Every Dental Practice.
[So] Source:Compend Contin Educ Dent;38(5):299-305; quiz 306, 2017 May.
[Is] ISSN:2158-1797
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Temporomandibular disorders (TMD) are a group of conditions affecting the temporomandibular joint and/or muscles of mastication. TMD may present along with many comorbid pain syndromes such as myofascial pain, headache, and neck and back stiffness with limited range of motion, as well as fibromyalgia and chronic fatigue syndrome. The diagnosis and management of TMD is complex and, many times, multidisciplinary. However, dentists can provide their patients with frontline temporomandibular/orofacial pain therapy with didactic and hands-on training that provides a better understanding and a conservative approach for treatment of TMDs.
[Mh] Termos MeSH primário: Dor Facial/terapia
Transtornos da Articulação Temporomandibular/terapia
[Mh] Termos MeSH secundário: Toxinas Botulínicas Tipo A/uso terapêutico
Dor Facial/etiologia
Seres Humanos
Transtornos da Articulação Temporomandibular/classificação
Transtornos da Articulação Temporomandibular/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
EC 3.4.24.69 (Botulinum Toxins, Type A)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:29385182
[Au] Autor:Song HS; Shin JS; Lee J; Lee YJ; Kim MR; Cho JH; Kim KW; Park Y; Song HJ; Park SY; Kim S; Kim M; Ha IH
[Ad] Endereço:Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea.
[Ti] Título:Association between temporomandibular disorders, chronic diseases, and ophthalmologic and otolaryngologic disorders in Korean adults: A cross-sectional study.
[So] Source:PLoS One;13(1):e0191336, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Temporomandibular disorders (TMDs) are common musculoskeletal conditions in the maxillofacial area. Although strong relationships between TMDs and other pain and diseases exist, few studies have comprehensively assessed the association between chronic diseases, ophthalmologic and otolaryngologic disorders and TMD. METHODS: Of 25,534 individuals included in the fifth Korea National Health and Nutrition Examination Survey (2010-2012), 17,575 aged ≥20 years who completed survey items on TMD symptoms were included for cross-sectional analysis. Logistic regression analysis was performed to assess the association between chronic diseases, ophthalmologic and otolaryngologic disorders and examination findings, and TMD symptoms after adjusting for various confounding variables. RESULTS: Out of 17,575 participants, 2,059 (11.75%) reported experience of ≥1 TMD symptom(s). Compared to individuals without chronic disease, those with asthma (odds ratio (OR) 1.46; 95% confidence interval (CI) 1.09-1.96), migraine (1.44; 1.26-1.65), osteoarthritis (1.51; 1.20-1.89), thyroid dysfunction (1.49; 1.13-1.96), and depressive symptoms (1.51; 1.29-1.77) had higher ORs for TMD prevalence. Participants with tinnitus (1.97; 1.70-2.27), hearing difficulties (1.55; 1.29-1.87), dizziness (1.52; 1.27-1.82), rhinitis (1.46; 1.28-1.65), and xerophthalmia (1.82; 1.57-2.12) also displayed higher ORs for TMD prevalence. Patients diagnosed with chronic rhinosinusitis upon otolaryngologic examination exhibited an OR of 1.44 (95% CI 1.11-1.87) for TMD prevalence, while that for individuals with abnormal laryngoscopic results was 0.57 (95% CI 0.36-0.90). CONCLUSIONS: These findings imply that TMDs, chronic diseases, and ophthalmologic and otolaryngologic disorders hold various correlations, suggesting the need for multitarget approaches to effectively address this phenomenon.
[Mh] Termos MeSH primário: Oftalmopatias/complicações
Otorrinolaringopatias/complicações
Transtornos da Articulação Temporomandibular/complicações
Transtornos da Articulação Temporomandibular/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Doença Crônica/epidemiologia
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
República da Coreia/epidemiologia
Transtornos da Articulação Temporomandibular/diagnóstico
Transtornos da Articulação Temporomandibular/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191336


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[PMID]:28453161
[Au] Autor:Martins RJ; Saliba-Garbin CA; Biage Cândido N; Ísper Garbin AJ; Saliba Rovida TA
[Ad] Endereço:Facultad de Odontología, Departamento de Odontología Infantil y Social, Araçatuba, Brasil.
[Ti] Título:[Prevalence of temporomandibular disorders among industrialworkers. Association with stress and sleep disorder].
[Ti] Título:Prevalencia de la disfunción temporomandibular en trabajadores de la industria. Asociación con el estrés y el trastorno del sueño..
[So] Source:Rev Salud Publica (Bogota);18(1):142-151, 2016 Feb.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To determine the presence of temporomandibular disorders (TMD), sleep disorders and stress, as well as the association between these factors, among industrial workers in São Paulo State, Brazil. Material and Methods Fonseca's questionnaire was used to verify the level of TMD, the Toronto Sleep Assessment Questionnaire (SAQ) was applied to check the quality and occurrence of sleep disorders, and the Social Readjustment Rating Scale (SRRS) was used to check the degree of stress. The data collected were tabulated with Epi InfoTM 7 and statistically analyzed using the chi-square test, with a 5 % significance level. Results 104 workers participated in the survey. Most were male (74 %) between 35 and 44 years of age (26 %). Thirty-seven (35.6 %) had some degree of disorder, 65 (62.5 %) presented with sleep disorders, and 6 (5.8 %) presented with higher degrees of stress. After statistical analysis, there was no significant association between stress and temporomandibular disorders (TMD). However, there was an association between quality of sleep and sex of the individual with TMD (p<0.01). Conclusion We conclude that a high percentage of the analyzed population has sleep disorders and TMD. Sex and the quality of sleep influence the occurrence of TMD.
[Mh] Termos MeSH primário: Doenças Profissionais/epidemiologia
Transtornos do Sono-Vigília/epidemiologia
Estresse Psicológico/epidemiologia
Transtornos da Articulação Temporomandibular/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Brasil/epidemiologia
Distribuição de Qui-Quadrado
Seres Humanos
Masculino
Meia-Idade
Prevalência
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


  7 / 11240 MEDLINE  
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[PMID]:28453146
[Au] Autor:Ramírez-Caro SN; Espinosa de Santillana IA
[Ad] Endereço:Investigador independiente, Hannover, Alemania.
[Ti] Título:[Association between craniofacial structures adolescents and temporomandibular disorders].
[Ti] Título:Asociación entre estructuras craneofaciales de adolescentes y los trastornos temporomandibulares..
[So] Source:Rev Salud Publica (Bogota);17(6):938-950, 2015 Dec.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To determine the association between craniofacial structures and the presence of TMD in adolescents. Material and Methods Cases-control study. 46 patients aged 10 to 16 years old were evaluated with their respective lateral cephalometric X-rays (23 cases and 23 controls matched for age and sex). The TTM was evaluated with the research diagnostic criteria for temporomandibular disorders (RDC/TMD). Results The comparison between cases and controls of the craniofacial structures did not show significant differences, however the lower facial height, facial axis and the mandibular plane were slightly higher in the group of cases. In the two-way analysis of ANOVA (diagnosis and age), facial convexity presented differences between the adolescent with and without temporomandibular disorders (p=0,002). Conclusion Craniofacial structures are not associated with the diagnosis of TMD in adolescents. However, changes occur in relation to the former location of the jaw, resulting in a skeletal pattern class II and an elongated shape of the face.
[Mh] Termos MeSH primário: Face/anatomia & histologia
Crânio/anatomia & histologia
Transtornos da Articulação Temporomandibular/etiologia
[Mh] Termos MeSH secundário: Adolescente
Estudos de Casos e Controles
Cefalometria
Criança
Face/diagnóstico por imagem
Feminino
Seres Humanos
Masculino
Fatores de Risco
Crânio/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29173864
[Au] Autor:Bianchi J; Pinto ADS; Ignácio J; Obelenis Ryan DP; Gonçalves JR
[Ad] Endereço:Department of Pediatric Dentistry, Araraquara Dental School, Paulista State University, Araraquara, São Paulo, Brazil. Electronic address: jonasbianchi.unesp@gmail.com.
[Ti] Título:Effect of temporomandibular joint articular disc repositioning on anterior open-bite malocclusion: An orthodontic-surgical approach.
[So] Source:Am J Orthod Dentofacial Orthop;152(6):848-858, 2017 Dec.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:An anterior open bite is a challenge to orthodontic treatment; it has a multifactorial etiology and a wide range of intervention options. Temporomandibular joint (TMJ) disorders are a risk factor for the development of malocclusions such as the anterior open bite, especially in patients who have TMJ osteoarthritis with disc displacement. Articular disc repositioning surgery is an available option for treating this pathology, and it contributes to maintaining the condyles in a more stable position. The aim of this article was to report the case of a 20-year-old woman diagnosed with anterior open bite and TMJ osteoarthritis with bilateral disc displacement. The patient received both orthodontic treatment and TMJ disc repositioning surgery. Cone-beam computed tomography was used to create 3-dimensional models of the condyles with regional superposition, and assessment of bone remodeling was performed at different time intervals. Complete orthodontic and surgical treatment time was approximately 12 months. The results provided a stable correction of the patient's anterior open bite with a 2-year follow-up and favorable bone remodeling of the condyles due to functional improvement of the TMJ.
[Mh] Termos MeSH primário: Mordida Aberta/complicações
Mordida Aberta/terapia
Ortodontia Corretiva
Osteoartrite/complicações
Osteoartrite/cirurgia
Disco da Articulação Temporomandibular/cirurgia
Transtornos da Articulação Temporomandibular/complicações
Transtornos da Articulação Temporomandibular/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


  9 / 11240 MEDLINE  
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[PMID]:29157545
[Au] Autor:Tamimi D; Jalali E; Hatcher D
[Ad] Endereço:Oral and Maxillofacial Radiology, Private Practice, Orlando, FL, USA. Electronic address: daniatamimi2005@gmail.com.
[Ti] Título:Temporomandibular Joint Imaging.
[So] Source:Radiol Clin North Am;56(1):157-175, 2018 Jan.
[Is] ISSN:1557-8275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The temporomandibular joint (TMJ) is an anatomically and biomechanically complex structure. Understanding how this structure grows and functions is essential to accurate radiographic evaluation. This article discusses the anatomy, function, and growth and development of the TMJ and how growth changes can affect the morphology of the craniofacial structures. Accordingly, the radiographic appearance of the entities that may alter the TMJ are discussed, including developmental, degenerative, inflammatory, and traumatic changes. Both osseous imaging and soft tissue imaging are shown.
[Mh] Termos MeSH primário: Radiografia Dentária/métodos
Transtornos da Articulação Temporomandibular/diagnóstico por imagem
Transtornos da Articulação Temporomandibular/fisiopatologia
Articulação Temporomandibular/diagnóstico por imagem
Articulação Temporomandibular/crescimento & desenvolvimento
Tomografia Computadorizada por Raios X/métodos
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171122
[St] Status:MEDLINE


  10 / 11240 MEDLINE  
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[PMID]:28471560
[Au] Autor:Abboud W; Nadel S; Yarom N; Yahalom R
[Ad] Endereço:Department of Oral and Maxillofacial Surgery, Sheba Medical Center, Tel Hashomer, Israel.
[Ti] Título:Arthroscopy of the Temporomandibular Joint for the Treatment of Chronic Closed Lock.
[So] Source:Isr Med Assoc J;18(7):397-400, 2016 Jul.
[Is] ISSN:1565-1088
[Cp] País de publicação:Israel
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Temporomandibular joint (TMJ) disorders affect roughly 5% of the population. Chronic closed lock is one of the more common temporomandibular disorders and is characterized by limited mouth opening and various degrees of joint pain and dysfunction. OBJECTIVES: To evaluate the efficacy and safety of arthroscopic lysis and lavage of the TMJ to treat limited mouth opening in patients suffering from chronic closed lock. METHODS: This is a retrospective analysis of the medical records of 47 patients with chronic closed lock treated with arthroscopic lysis and lavage. Patients were diagnosed preoperatively with closed lock of the TMJ and were unresponsive to previous conservative therapy. Three outcome variables were used to assess the efficacy of treatment: maximal mouth opening, subjective evaluation of overall improvement by the patient (on a 3 grade scale: "excellent," "fair," and "poor"), and length of hospital stay. In addition, complications were reported. RESULTS: The maximal mouth opening values increased from a mean of 27 ± 4.7 mm preoperatively to a mean of 38 mm ± 5.4 mm postoperatively. The subjective evaluation of overall improvement was "excellent" in 15 patients (32%), "fair" in 21 (45%), and "poor" in 11 (23%). Success was defined as a maximal mouth opening of 35 mm or more after arthroscopy, and not reporting a "poor" result in the subjective evaluation. This was achieved in 36 patients, yielding a success rate of 77%. The mean length of hospital stay was less than one day (0.78 days). The complication rate was low (8%) and all complications resolved within 2 weeks. CONCLUSIONS: Arthroscopic lysis and lavage is a simple, safe, and efficient minimally invasive intervention for the treatment of chronic closed lock of the TMJ.
[Mh] Termos MeSH primário: Artroscopia/métodos
Transtornos da Articulação Temporomandibular/cirurgia
Articulação Temporomandibular/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Artroscopia/efeitos adversos
Doença Crônica
Feminino
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Amplitude de Movimento Articular
Estudos Retrospectivos
Articulação Temporomandibular/patologia
Irrigação Terapêutica/métodos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação: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:170505
[St] Status:MEDLINE



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