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[PMID]:29279561
[Au] Autor:Akiyama G; Kuwahara H; Asahi R; Tosa R; Yokota H
[Ad] Endereço:Department of Emergency and Critical Care Medicine, Aizu Chuo Hospital.
[Ti] Título:Prompt Procedures Have a Great Impact on the Consequences of Asiatic Black Bear Mauling.
[So] Source:J Nippon Med Sch;84(6):294-300, 2017.
[Is] ISSN:1347-3409
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Although bear-inflicted human injuries are rare and the mortality rate of the injuries is usually not high, the chances of bear-human interactions have been increasing, with fatal cases being reported in Japan every year. The aim of this study was to report a series of bear-inflicted injuries and discuss their management and severity. MATERIALS AND METHODS: A retrospective study was performed at the emergency and critical care center of Aizu Chuo Hospital, a tertiary care center in Japan, from May 2013 to September 2015. During this period, we encountered 14 black bear injury patients (12 men and 2 women). RESULTS: Six victims were attacked in dense forests while collecting wild vegetables; 4 victims were attacked near their houses. Lacerations of the scalp and face were the most frequent injuries, affecting 13 patients. Three patients developed hemorrhagic shock. Injury severity scores ranged from 2 to 12 (median value, 6). None of the injuries was fatal. Thirteen patients were transported by the local fire department's ambulances, 9 of whom were transferred to doctor ambulances. CONCLUSIONS: Although the severity and mortality rate following bear-inflicted injuries are not high, these encounters usually take place in remote rural areas, so a delay in rescue and proper care can lead to the incident becoming fatal. Hence, early decisions and arrangements for patient transportation to a tertiary care center and prompt measures to save lives will have a positive impact on the consequences of such incidents.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência
Ursidae
Ferimentos e Lesões/epidemiologia
Ferimentos e Lesões/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Animais
Traumatismos Faciais/epidemiologia
Traumatismos Faciais/terapia
Feminino
Seres Humanos
Japão/epidemiologia
Masculino
Meia-Idade
Estudos Retrospectivos
Gestão de Riscos
Couro Cabeludo/lesões
Choque Hemorrágico/epidemiologia
Choque Hemorrágico/terapia
Fatores de Tempo
Índices de Gravidade do Trauma
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1272/jnms.84.294


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[PMID]:29384955
[Au] Autor:Wang D; Sun XM; Wu J
[Ad] Endereço:Department of Oral and Maxillofacial Surgery, Dongguan People's Hospital, Dongguan.
[Ti] Título:A rare case report of complications in craniofacial injuries: Cavernous sinus-carotid fistula.
[So] Source:Medicine (Baltimore);96(52):e9511, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Cavernous sinus-carotid fistula (CCF) is a rare complication of craniofacial injuries in patients receiving oral and maxillofacial surgical care. PATIENT CONCERNS: A retrospective review of 15 patients with CCF records was conducted. In addition, we present a rare case of a 32-year-old Chinese woman with CCF receiving oral and maxillofacial surgical care. DIAGNOSES: Digital subtraction angiography (DSA) confirmed a diagnosis of CCF. INTERVENTIONS: Endovascular surgery was performed via the femoral artery under general anesthesia without any complications. OUTCOMES: The postoperative course was uneventful, and the subjective and objective ophthalmic symptoms had resolved. LESSONS: The symptoms of CCF may be delayed for several days or weeks. Thus, maxillofacial surgeons should be aware of this and avoid the untimely repair of facial fractures with potentially disastrous consequences. Interventional neuroradiologic approaches that involve the use of a detachable balloon have made it possible to care for patients with CCF without any complications.
[Mh] Termos MeSH primário: Fístula Carotidocavernosa/etiologia
Traumatismos Craniocerebrais/complicações
[Mh] Termos MeSH secundário: Adulto
Angiografia Digital
Fístula Carotidocavernosa/cirurgia
Traumatismos Craniocerebrais/cirurgia
Traumatismos Faciais/complicações
Traumatismos Faciais/cirurgia
Feminino
Seres Humanos
Tomografia Computadorizada por Raios X
[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.0000000000009511


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[PMID]:29303939
[Au] Autor:Winkler K; Nesi F; Baylin E; Servat J
[Ti] Título:Delayed Extrusion of Enophthalmic Wedge Implant.
[So] Source:Ophthal Plast Reconstr Surg;34(1):90, 2018 Jan/Feb.
[Is] ISSN:1537-2677
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Enoftalmia/cirurgia
Ossos Faciais/lesões
Traumatismos Faciais/complicações
Migração de Corpo Estranho/etiologia
Fraturas Ósseas/complicações
Implantes Orbitários
[Mh] Termos MeSH secundário: Traumatismos Faciais/diagnóstico
Feminino
Migração de Corpo Estranho/diagnóstico
Fraturas Ósseas/diagnóstico
Seres Humanos
Meia-Idade
Traumatismo Múltiplo
Fatores de Tempo
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1097/IOP.0000000000001008


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[PMID]:28468144
[Au] Autor:Aksu AE; Uzun H; Bitik O; Tunçbilek G; Safak T
[Ad] Endereço:Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
[Ti] Título:Microvascular Tissue Transfers for Midfacial and Anterior Cranial Base Reconstruction.
[So] Source:J Craniofac Surg;28(3):659-663, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Reconstruction of a midfacial defect can represent a difficult challenge for the plastic surgeon. Although many midfacial deformities have traumatic or congenital origins, the vast majority of head and neck defects occur after resection of malignant head and neck neoplasms. Autogenous reconstruction is now routinely performed for larger, complex defects resulting from surgical resection or trauma. In this study, the authors present 27 patients with midfacial defects reconstructed with free flaps. Twenty-two of the defects were created by surgical ablation of cancer (maxillectomy) and the others were traumatic. The maxillectomy defects were classified into 4 according to the classification proposed by Cordeiro. Eighteen of the patients were male and 9 were female. Twenty-nine free flaps were performed. Six different types of flaps including radial forearm flap, vertical rectus abdominis (VRAM) flap, anterolateral thigh (ALT) flap, tensor fasciae latae (TFL) flap, fibula osteocutaneous flap, and iliac osteocutaneous flap were accomplished. Types I and II defects were reconstructed with radial forearm flap. Type III defects were reconstructed with VRAM and ALT. Type IV defects were reconstructed with VRAM and TFL. Two patients underwent a second flap reconstruction due to recurrent disease (9.1%). Average patient age was 53.1 years. Free-flap survival was 100%. Free tissue transfer is the method of choice in midfacial reconstruction. Following a reconstructive algorithm is useful in the decision-making process for patient evaluation and treatment. Every reconstructive microsurgeon might have different experiences with different flaps. Therefore, the algorithm for flap choices is not universal among surgeons.
[Mh] Termos MeSH primário: Fossa Craniana Anterior/cirurgia
Traumatismos Faciais/cirurgia
Neoplasias Faciais/cirurgia
Retalhos de Tecido Biológico/irrigação sanguínea
Maxila/cirurgia
Microcirurgia/métodos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Retalhos Cirúrgicos/irrigação sanguínea
Retalhos Cirúrgicos/cirurgia
Transplantes/irrigação sanguínea
Transplantes/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Ossos Faciais/cirurgia
Feminino
Seguimentos
Neoplasias de Cabeça e Pescoço/cirurgia
Seres Humanos
Ílio/cirurgia
Masculino
Meia-Idade
Reto do Abdome/transplante
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003448


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Texto completo SciELO Chile
[PMID]:29189862
[Au] Autor:Campolo G A; Mix V A; Foncea R C; Ramírez S H; Vargas D A; Goñi E I
[Ad] Endereço:Departamento de Cirugía Oncológica y Maxilofacial, Hospital Clínico, Pontificia Universidad Católica de Chile, Santiago, Chile.
[Ti] Título:[Management of facial injuries in the emergency room].
[Ti] Título:Manejo del trauma maxilofacial en la atención de urgencia por no especialistas..
[So] Source:Rev Med Chil;145(8):1038-1046, 2017 Aug.
[Is] ISSN:0717-6163
[Cp] País de publicação:Chile
[La] Idioma:spa
[Ab] Resumo:Facial injuries are cause of consultation in emergency departments. The maxillofacial region contains several structures that are vital for life. Hence, an early assessment and management of facial injuries is important to avoid their consequential complications and eventual mortality. This article is a review of the literature about the emergency clinical assessment and management of traumatic facial injuries by non-specialists.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência
Traumatismos Faciais/diagnóstico por imagem
Traumatismos Faciais/terapia
Administração dos Cuidados ao Paciente/métodos
[Mh] Termos MeSH secundário: Traumatismos Faciais/fisiopatologia
Seres Humanos
Escala de Gravidade do Ferimento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


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[PMID]:28457066
[Au] Autor:Lavee I; Najjar R; Ben-Meir P; Sela E; Kassif Y; Emodi O; Kogan L
[Ad] Endereço:Department of Plastic Surgery, Western Galilee Medical Center, Nahariya, Israel.
[Ti] Título:Hyena Attack of a Child's Head and Face: Plastic Reconstructive Surgery Challenge.
[So] Source:Isr Med Assoc J;19(2):123-124, 2017 Feb.
[Is] ISSN:1565-1088
[Cp] País de publicação:Israel
[La] Idioma:eng
[Mh] Termos MeSH primário: Mordeduras e Picadas
Traumatismos Craniocerebrais
Traumatismos Faciais
Hyaenidae
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Animais
Mordeduras e Picadas/diagnóstico
Mordeduras e Picadas/fisiopatologia
Mordeduras e Picadas/cirurgia
Transplante Ósseo/métodos
Criança
Traumatismos Craniocerebrais/diagnóstico
Traumatismos Craniocerebrais/etiologia
Traumatismos Craniocerebrais/cirurgia
Traumatismos Faciais/diagnóstico
Traumatismos Faciais/etiologia
Traumatismos Faciais/cirurgia
Seres Humanos
Masculino
Transplante de Pele/métodos
Tomografia Computadorizada por Raios X/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171130
[Lr] Data última revisão:
171130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE


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[PMID]:28828914
[Au] Autor:Lanigan A; Lindsey B; Maturo S; Brennan J; Laury A
[Ad] Endereço:1 Department of Otolaryngology-Head & Neck Surgery, San Antonio Military Medical Center, San Antonio, Texas, USA.
[Ti] Título:The Joint Facial and Invasive Neck Trauma (J-FAINT) Project, Iraq and Afghanistan: 2011-2016.
[So] Source:Otolaryngol Head Neck Surg;157(4):602-607, 2017 Oct.
[Is] ISSN:1097-6817
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective Define the number and type of facial and penetrating neck injuries sustained in combat operations in Iraq and Afghanistan from 2011 to 2016. Compare recent injury trends to prior years of modern conflict. Study Design Case series with chart review. Setting Tertiary care hospital. Methods The Joint Theater Trauma Registry (JTTR) was queried for facial and neck injuries from Iraq and Afghanistan from June 2011 to May 2016. Injury patterns, severity, and patient demographics were analyzed and compared to previously published data from combat operations during January 2003 to May 2011. Results A total of 5312 discrete facial and neck injuries among 922 service members were identified. There were 3842 soft tissue injuries (72.3%) of the head/neck and 1469 (27.7%) facial fractures. Soft tissue injuries of the face/cheek (31.4%) and neck/larynx/trachea (18.8%) were most common. The most common facial fractures were of the orbit (26.3%) and maxilla/zygoma (25.1%). Injuries per month were highest in 2011 to 2012 and steadily declined through 2016. The percentage of nonbattle injuries trended up over time, ranging from 14.7% to 65%. Concurrent facial/neck soft tissue trauma or fracture was associated with an overall mortality rate of 2.44%. Comparison of our data to that previously published revealed no statistical difference in concurrent mortality (3.5%-2.2%, P = .053); an increase in orbital fractures ( P < .005), facial nerve injury ( P < .0005), and ear/tympanic membrane perforations ( P < .0005); and a decrease in mandible fractures ( P < .005). Conclusion Penetrating neck and facial injuries remain common in modern warfare. Assessing injury characteristics and trends supports continued improvements in battlefield protection and identifies areas requiring further intervention.
[Mh] Termos MeSH primário: Traumatismos Faciais/diagnóstico
Militares
Lesões do Pescoço/diagnóstico
Fraturas Cranianas/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Campanha Afegã de 2001-
Afeganistão/epidemiologia
Traumatismos Faciais/epidemiologia
Feminino
Seguimentos
Seres Humanos
Incidência
Iraque/epidemiologia
Guerra do Iraque 2003-2011
Masculino
Meia-Idade
Lesões do Pescoço/epidemiologia
Estudos Retrospectivos
Fraturas Cranianas/diagnóstico
Fatores de Tempo
Índices de Gravidade do Trauma
Ferimentos Penetrantes/diagnóstico
Ferimentos Penetrantes/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170823
[St] Status:MEDLINE
[do] DOI:10.1177/0194599817725713


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[PMID]:28728869
[Au] Autor:Liu X; Nelemans PJ; Frenk LDS; Sengers H; Tuinder SMH; Steijlen PM; Mosterd K; Kelleners-Smeets NWJ
[Ad] Endereço:Department of Dermatology, Maastricht University Medical Centre, Maastricht, The Netherlands; GROW, School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands; Department of Dermatology, Flevo Hospital Almere, Almere, The Netherlands. Electronic
[Ti] Título:Aesthetic outcome and complications of simple interrupted versus running subcuticular sutures in facial surgery: A randomized controlled trial.
[So] Source:J Am Acad Dermatol;77(5):911-919, 2017 Nov.
[Is] ISSN:1097-6787
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The suturing technique and its associated complications could affect cosmetic outcome after facial surgery. Literature on this topic is limited. OBJECTIVE: To compare the cosmetic results 12 months after treatment and complications associated with simple interrupted sutures (SIS) versus running subcuticular sutures (RSS) in facial surgery. METHODS: A randomized, controlled multicenter trial was performed. Adults receiving dermatologic surgery on the face were randomized to receive SIS or RSS for wound closure. The primary outcome was the overall opinion score on the Patient and Observer Scar Assessment Scale (POSAS) 12 months after surgery. Secondary outcomes were the complication rates and scores according to alternative methods for assessment of cosmetic outcome. The observer of cosmetic outcome was blinded to treatment assignment. RESULTS: 142 patients were randomized to receive SIS (n = 73) or RSS (n = 69). Twelve months after surgery, the median score of the overall opinion on the POSAS was 2.0 (range 1-8) according to the patients and 3.0 (range 1-8) according to the observer in both groups. In the RSS group, hyper- or hypoesthesia was reported more often. LIMITATIONS: The cosmetic result was assessed by 1 observer. CONCLUSION: SIS and RSS in facial surgery resulted in comparable cosmetic outcomes. RSS was more often associated with hyper- or hypoesthesia.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Dermatológicos/métodos
Traumatismos Faciais/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Técnicas de Sutura
Suturas
[Mh] Termos MeSH secundário: Adulto
Idoso
Cicatriz/prevenção & controle
Procedimentos Cirúrgicos Dermatológicos/efeitos adversos
Estética
Traumatismos Faciais/diagnóstico
Feminino
Seres Humanos
Escala de Gravidade do Ferimento
Masculino
Meia-Idade
Países Baixos
Variações Dependentes do Observador
Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos
Medição de Risco
Estatísticas não Paramétricas
Resultado do Tratamento
Cicatrização/fisiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[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:170722
[St] Status:MEDLINE


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[PMID]:28651418
[Au] Autor:Wei YT; Fu JF; Li-Tsang ZHP
[Ad] Endereço:Department of Burns, the Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China.
[Ti] Título:[Advances in the research of pressure therapy for pediatric burn patients with facial scar].
[So] Source:Zhonghua Shao Shang Za Zhi;33(5):277-280, 2017 May 20.
[Is] ISSN:1009-2587
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Facial scar and deformation caused by burn injury severely affect physical and psychological well-being of pediatric burn patients, which needs medical workers and pediatric burn patients' family members to pay much attention to and to perform early rehabilitation treatment. Pressure therapy is an important rehabilitative strategy for pediatric burn patients with facial scar, mainly including wearing headgears and transparent pressure facemasks, which have their own features. To achieve better treatment results, pressure therapy should be chosen according to specific condition of pediatric burn patients and combined with other assistant therapies. Successful rehabilitation for pediatric burn patients relies on cooperation of both family members of pediatric burn patients and society. Rehabilitation knowledge should be provided to parents of pediatric burn patients to acquire their full support and cooperation in order to achieve best therapeutic effects and ultimately to rebuild physical and psychological well-being of pediatric burn patients.
[Mh] Termos MeSH primário: Queimaduras/terapia
Cicatriz/prevenção & controle
Traumatismos Faciais/terapia
Pressão
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Queimaduras/complicações
Queimaduras/reabilitação
Criança
Cicatriz/etiologia
Cicatriz/cirurgia
Contratura/etiologia
Contratura/psicologia
Traumatismos Faciais/complicações
Traumatismos Faciais/reabilitação
Seres Humanos
Modalidades de Fisioterapia
Procedimentos Cirúrgicos Reconstrutivos/tendências
Transplante de Pele
Índices de Gravidade do Trauma
Resultado do Tratamento
Cicatrização
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1009-2587.2017.05.005


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[PMID]:28583494
[Au] Autor:Simmonds JC; Scott AR
[Ad] Endereço:Department of Otolaryngology, Head & Neck Surgery, Tufts Medical Center, Boston, United States. Electronic address: jonathan.simmonds@tufts.edu.
[Ti] Título:Spontaneous CSF rhinorrhea from the trigeminal canal in an adolescent.
[So] Source:Int J Pediatr Otorhinolaryngol;98:162-165, 2017 Jul.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:We report a case of a seventeen-year old, healthy, non-obese young woman who presented with retro-orbital headaches and metallictasting, left-sided rhinorrhea. Computed tomography revealed a defect along the medial wall of the canal of V2 within a well-pneumatized lateral recess of the left sphenoid sinus. Prior imaging obtained 4 years earlier in the context of nasal trauma showed no such defect - thus lending support for the arachnoid granulation hypothesis of spontaneous CSF leaks from the sphenoid sinus. We perform a literature review and describe a successful repair through an endoscopic transpterygoid approach, which allowed for resolution of symptoms with minimal postoperative morbidity.
[Mh] Termos MeSH primário: Rinorreia de Líquido Cefalorraquidiano/cirurgia
Traumatismos Faciais/cirurgia
Osso Esfenoide/cirurgia
Seio Esfenoidal/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Rinorreia de Líquido Cefalorraquidiano/etiologia
Feminino
Seres Humanos
Período Pós-Operatório
Base do Crânio
Seio Esfenoidal/lesões
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; 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:170607
[St] Status:MEDLINE



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