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[PMID]:28448298
[Au] Autor:Katz JA; Murphy GS
[Ad] Endereço:Northshore University Health System, University of Chicago, Pritzker School of Medicine, Illinois, USA.
[Ti] Título:Anesthetic consideration for neuromuscular diseases.
[So] Source:Curr Opin Anaesthesiol;30(3):435-440, 2017 Jun.
[Is] ISSN:1473-6500
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE OF REVIEW: The aim of this review is to examine data relating to perioperative management of the patient with neuromuscular disorders RECENT FINDINGS: Patients with pre-existing neuromuscular disorders are at risk for a number of postoperative complications that are related to anesthetic drugs that are administered intraoperatively. Careful preoperative assessment is necessary to reduce morbidity and mortality. In particular, the risk of postoperative respiratory failure and need for long-term ventilation should be reviewed with patients. The use of succinylcholine should be avoided in muscular dystrophies, motor neuron diseases, and intrinsic muscle disease due to a risk of malignant hyperthermia, hyperkalemia, rhabdomyolysis, and cardiac arrest. The use of quantitative neuromuscular monitoring should be strongly considered whenever nondepolarizing neuromuscular blocking agents are administered. A number of case series and reports have been recently published demonstrating that sugammadex can be safely used in patients with neuromuscular disease; the risk of residual neuromuscular is nearly eliminated when this agent is administered intraoperatively. SUMMARY: Careful assessment and management of patients with underlying neuromuscular diseases is required to reduce postoperative complications. This article reviews the anesthetic implications of patients undergoing surgery with neuromuscular disorder.
[Mh] Termos MeSH primário: Anestesia/efeitos adversos
Anestésicos/efeitos adversos
Bloqueadores Neuromusculares/efeitos adversos
Doenças Neuromusculares/complicações
Assistência Perioperatória/métodos
Complicações Pós-Operatórias/etiologia
Procedimentos Cirúrgicos Operatórios/efeitos adversos
[Mh] Termos MeSH secundário: Anestesia/métodos
Anestésicos/administração & dosagem
Parada Cardíaca/induzido quimicamente
Parada Cardíaca/prevenção & controle
Seres Humanos
Hiperpotassemia/induzido quimicamente
Complicações Intraoperatórias/induzido quimicamente
Complicações Intraoperatórias/prevenção & controle
Hipertermia Maligna/etiologia
Bloqueadores Neuromusculares/administração & dosagem
Doenças Neuromusculares/epidemiologia
Monitoração Neuromuscular
Complicações Pós-Operatórias/prevenção & controle
Prevalência
Insuficiência Respiratória/prevenção & controle
Rabdomiólise/induzido quimicamente
Rabdomiólise/prevenção & controle
Medição de Risco
Succinilcolina/administração & dosagem
Succinilcolina/efeitos adversos
gama-Ciclodextrinas/administração & dosagem
gama-Ciclodextrinas/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anesthetics); 0 (Neuromuscular Blocking Agents); 0 (gamma-Cyclodextrins); 361LPM2T56 (Sugammadex); J2R869A8YF (Succinylcholine)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.1097/ACO.0000000000000466


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[PMID]:29215340
[Au] Autor:Yakut K; Erdogan I; Varan B; Atar I
[Ad] Endereço:Department of Pediatric Cardiology, Baskent University Ankara Hospital, Ankara, Turkey.
[Ti] Título:A Report of Brugada Syndrome Presenting with Cardiac Arrest Triggered by Verapamil Intoxication.
[So] Source:Balkan Med J;34(6):576-579, 2017 12 01.
[Is] ISSN:2146-3131
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Brugada syndrome is a disease characterized by a specific electrocardiographic pattern and an increased risk of sudden cardiac death. We present this case with the updated literature to emphasise the need to consider the diagnosis of Brugada syndrome in patients admitted to the emergency ward with sudden cardiac arrest. CASE REPORT: A 16-year-old female patient was admitted to the emergency ward with complaints of weakness and abdominal pain, and she had four cardiac arrests during her evaluation period. She was referred to our clinic for permanent pacemaker implantation. She was on a temporary pace maker after having had C-reactive protein. Her physical exam was normal except for bilaterally decreased lung sounds. Lung x-ray and computed tomography, which were performed by another institution, revealed minimal pleural effusion and nothing else of significance. Blood and peritoneal fluid samples were sterile. Echocardiographic exam and cardiac enzymes were also in the normal ranges. Electrocardiographic showed incomplete right branch block in leads V1 and V2. An ajmaline test revealed specific electrocardiographic findings of the type I Brugada pattern. We proposed implanting an implantable cardioverter defibrillator to the patient as there were positive findings on the ajmaline test as well as a history of sudden cardiac arrest. After this treatment proposal, the patient's family admitted that she had taken a high dose of verapamil and thus, the encountered bradycardia was associated with verapamil overuse. The ajmaline test was repeated as it was contemplated that the previous positive ajmaline test had been associated with verapamil overuse. Implantable cardioverter defibrillator implantation was proposed again as there was a history of sudden cardiac arrest; however, the family did not consent to implantable cardioverter defibrillator, and the patient was discharged and followed up. CONCLUSION: Brugada syndrome should be considered for patients who are admitted to the emergency ward with sudden cardiac arrest though surface electrocardiographic is normal. If there is a suspicion of Brugada syndrome, repeated electrocardiographic should be performed on different occasions. Diagnosis can be clarified by upper costal electrocardiographic or by administering Na channel blockers during electrocardiographic performance.
[Mh] Termos MeSH primário: Antiarrítmicos/envenenamento
Síndrome de Brugada/induzido quimicamente
Parada Cardíaca/induzido quimicamente
Verapamil/envenenamento
[Mh] Termos MeSH secundário: Adolescente
Ajmalina/farmacologia
Síndrome de Brugada/diagnóstico
Síndrome de Brugada/fisiopatologia
Diagnóstico Diferencial
Eletrocardiografia
Feminino
Testes Genéticos
Parada Cardíaca/fisiopatologia
Seres Humanos
Fatores Desencadeantes
Bloqueadores dos Canais de Sódio/administração & dosagem
Tentativa de Suicídio
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Arrhythmia Agents); 0 (Sodium Channel Blockers); 1PON08459R (Ajmaline); CJ0O37KU29 (Verapamil)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.4274/balkanmedj.2016.1301


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[PMID]:29444395
[Au] Autor:Wood B; Ismail K
[Ti] Título:A cardiac arrest following the administration of succinylcholine.
[So] Source:Acta Anaesthesiol Belg;67(2):97-99, 2016.
[Is] ISSN:0001-5164
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:A twenty-three year old woman, admitted to the intensive care unit (ICU) with a diagnosis of menin- gitis and associated lower limb ischemia suffered a car- diac arrest, due to extreme hyperkalemia, following the administration of succinylcholine in order to replace an endo-tracheal tube. After prolonged cardiopulmonary resuscitation (CPR) lasting 45 minutes, during which 8 mg of epinephrine was administered, cardiac output was restored. Four weeks later the patient left intensive care, having made a full recovery with no neurological deficit. The following case highlights the risks of succinylcholine in the septic patient and that prolonged resuscitation can have a succesfiil outcome.
[Mh] Termos MeSH primário: Parada Cardíaca/induzido quimicamente
Fármacos Neuromusculares Despolarizantes/efeitos adversos
Succinilcolina/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Reanimação Cardiopulmonar
Feminino
Seres Humanos
Hiperpotassemia/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Neuromuscular Depolarizing Agents); J2R869A8YF (Succinylcholine)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


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[PMID]:29289259
[Au] Autor:Heckle MR; Nayyar M; Sinclair SE; Weber KT
[Ad] Endereço:Division of Cardiovascular Diseases.
[Ti] Título:Cannabinoids and Symptomatic Bradycardia.
[So] Source:Am J Med Sci;355(1):3-5, 2018 Jan.
[Is] ISSN:1538-2990
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cannabinoids, the bioactive components of marijuana, have adverse cardiovascular consequences, including symptomatic sinus bradycardia, sinus arrest and ventricular asystole. Physicians should be aware of these deleterious consequences which can appear in otherwise healthy persons who are chronic marijuana users.
[Mh] Termos MeSH primário: Bradicardia/induzido quimicamente
Bradicardia/fisiopatologia
Canabinoides/efeitos adversos
[Mh] Termos MeSH secundário: Bradicardia/diagnóstico
Canabinoides/administração & dosagem
Teste de Esforço/efeitos dos fármacos
Teste de Esforço/métodos
Parada Cardíaca/induzido quimicamente
Parada Cardíaca/diagnóstico
Parada Cardíaca/fisiopatologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Cannabinoids)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180101
[St] Status:MEDLINE


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[PMID]:29384839
[Au] Autor:Ladny JR; Smereka J; Rodríguez-Núñez A; Leung S; Ruetzler K; Szarpak L
[Ad] Endereço:Department of Emergency Medicine and Disaster, Medical University Bialystok, Bialystok.
[Ti] Título:Is there any alternative to standard chest compression techniques in infants? A randomized manikin trial of the new "2-thumb-fist" option.
[So] Source:Medicine (Baltimore);97(5):e9386, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pediatric cardiac arrest is a fatal emergent condition that is associated with high mortality, permanent neurological injury, and is a socioeconomic burden at both the individual and national levels. The aim of this study was to test in an infant manikin a new chest compression (CC) technique ("2 thumbs-fist" or nTTT) in comparison with standard 2-finger (TFT) and 2-thumb-encircling hands techniques (TTEHT). METHODS: This was prospective, randomized, crossover manikin study. Sixty-three nurses who performed a randomized sequence of 2-minute continuous CC with the 3 techniques in random order. Simulated systolic (SBP), diastolic (DBP), mean arterial pressure (MAP), and pulse pressures (PP, SBP-DBP) in mm Hg were measured. RESULTS: The nTTT resulted in a higher median SBP value (69 [IQR, 63-74] mm Hg) than TTEHT (41.5 [IQR, 39-42] mm Hg), (P < .001) and TFT (26.5 [IQR, 25.5-29] mm Hg), (P <.001). The simulated median value of DBP was 20 (IQR, 19-20) mm Hg with nTTT, 18 (IQR, 17-19) mm Hg with TTEHT and 23.5 (IQR, 22-25.5) mm Hg with TFT. DBP was significantly higher with TFT than with TTEHT (P <.001), as well as with TTEHT than nTTT (P <.001). Median values of simulated MAP were 37 (IQR, 34.5-38) mm Hg with nTTT, 26 (IQR, 25-26) mm Hg with TTEHT and 24.5 (IQR,23.5-26.5) mm Hg with TFT. A statistically significant difference was noticed between nTTT and TFT (P <.001), nTTT and TTEHT (P <.001), and between TTEHT and TFT (P <.001). Sixty-one subjects (96.8%) preferred the nTTT over the 2 standard methods. CONCLUSIONS: The new nTTT technique achieved higher SBP and MAP compared to the standard CC techniques in our infant manikin model. nTTT appears to be a suitable alternative or complementary to the TFT and TTEHT.
[Mh] Termos MeSH primário: Reanimação Cardiopulmonar/métodos
Parada Cardíaca/terapia
[Mh] Termos MeSH secundário: Adulto
Análise de Variância
Atitude do Pessoal de Saúde
Pressão Sanguínea
Reanimação Cardiopulmonar/educação
Estudos Cross-Over
Feminino
Parada Cardíaca/fisiopatologia
Seres Humanos
Lactente
Modelos Lineares
Masculino
Manequins
Enfermeiras e Enfermeiros
Polegar
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009386


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[PMID]:29226664
[Au] Autor:Shimagaki T; Okamoto T; Morodomi Y; Shoji F; Akamine T; Takamori S; Katsura M; Takada K; Suzuki Y; Fujishita T; Hayamizu K; Tokuda K; Yasuda M; Maehara Y
[Ti] Título:Case of a Cardiopulmonary Arrest Due to Postoperative Subglottic Stenosis Developed on the Second Day after Lung Surgery.
[So] Source:Fukuoka Igaku Zasshi;107(7):136-40, 2016 07.
[Is] ISSN:0016-254X
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:We experienced a case of the cardiopulmonary arrest due to subglottic stenosis developed on the second day after lung cancer surgery. Case : A 73-year-old female who was diagnosed with primary lung cancer was referred to our department for surgery. The second day after left lung segmentectomy, she showed respiratory discomfort symptoms and exhibited hoarseness and stridor, which were revealed as the subglottic stenosis by bronchoscopy. During the emergency airway management, she went into cardiopulmonary arrest. We performed cardiopulmonary resuscitation and simultaneous urgent tracheotomy.
[Mh] Termos MeSH primário: Parada Cardíaca/etiologia
Laringoestenose/terapia
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Pneumonectomia/efeitos adversos
Traqueotomia
Resultado do Tratamento
[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:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE


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[PMID]:29419666
[Au] Autor:Oh TK; Park YM; Do SH; Hwang JW; Jo YH; Kim JH; Jeon YT; Song IA
[Ad] Endereço:Interdepartment of Critical Care Medicine, Seoul National University Bundang Hospital.
[Ti] Título:A comparative study of the incidence of in-hospital cardiopulmonary resuscitation on Monday-Wednesday and Thursday-Sunday: Retrospective analysis in a tertiary care hospital.
[So] Source:Medicine (Baltimore);97(6):e9741, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Because most medical staff work from Monday-Friday, it is possible that they are relatively more fatigued and less capable of providing emergency supportive services on Thursday-Sunday (Thu-Sun) than on Monday-Wednesday (Mon-Wed). In this study, we aimed to analyze the incidence of in-hospital cardiopulmonary resuscitation (CPR) to determine if it differed between Thu-Sun and Mon-Wed.This retrospective observational study of in-hospital CPR was performed during 2012 to 2016 among inpatients at the Seoul National University Bundang Hospital. The primary outcome was the incidence of in-hospital CPR per 1000 inpatients in the Mon-Wed and Thu-Sun periods. Secondary outcomes included differences in the CPR incidence by time of day and season.In the study, 1195 cases of in-hospital CPR were included. The incidence of in-hospital CPR per 1000 inpatients was significantly higher on Thu-Sun (mean: 0.595, 95% confidence interval [CI]: 0.564-0.626) than on Mon-Wed (mean: 0.505, 95% CI: 0.474-0.536, P < .001). There were no seasonal variations in the incidence of in-hospital CPR. However, in-hospital CPR was most frequently performed between 16:00 and 24:00, and the return of spontaneous circulation (ROSC) rate was the lowest among cases that occurred between 0:00 and 8:00. In addition, the ROSC rate was lowest among female patients, patients with cardiac arrest, and after in-hospital CPR performed on a Sunday.The incidence of in-hospital CPR per 1000 inpatients was significantly higher on Thu-Sun than on Mon-Wed. No seasonal variations were observed in the incidence of in-hospital CPR, but the data suggest circadian variations and differences in ROSC rates.
[Mh] Termos MeSH primário: Fadiga de Alarmes do Pessoal de Saúde/prevenção & controle
Reanimação Cardiopulmonar
Admissão e Escalonamento de Pessoal
[Mh] Termos MeSH secundário: Adulto
Idoso
Reanimação Cardiopulmonar/efeitos adversos
Reanimação Cardiopulmonar/métodos
Reanimação Cardiopulmonar/estatística & dados numéricos
Serviços Médicos de Emergência/métodos
Feminino
Parada Cardíaca/epidemiologia
Parada Cardíaca/terapia
Seres Humanos
Incidência
Masculino
Meia-Idade
Admissão e Escalonamento de Pessoal/organização & administração
Admissão e Escalonamento de Pessoal/estatística & dados numéricos
República da Coreia/epidemiologia
Estudos Retrospectivos
Centros de Atenção Terciária/organização & administração
Centros de Atenção Terciária/estatística & dados numéricos
Fatores de Tempo
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009741


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[PMID]:29411034
[Au] Autor:Blay E; Barnard C; Bilimoria KY
[Ad] Endereço:Northwestern Memorial Hospital, Chicago, Illinois.
[Ti] Título:Oversedation of a Patient With Obstructive Sleep Apnea Prior to Imaging.
[So] Source:JAMA;319(5):495-496, 2018 Feb 06.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Parada Cardíaca/induzido quimicamente
Hipnóticos e Sedativos/efeitos adversos
Lorazepam/efeitos adversos
Apneia Obstrutiva do Sono
[Mh] Termos MeSH secundário: Idoso
Registros Eletrônicos de Saúde
Parada Cardíaca/terapia
Seres Humanos
Hipnóticos e Sedativos/administração & dosagem
Doença Iatrogênica
Lorazepam/administração & dosagem
Imagem por Ressonância Magnética
Análise de Causa Fundamental
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Hypnotics and Sedatives); O26FZP769L (Lorazepam)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.22004


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[PMID]:29372999
[Au] Autor:Izzo MD; Mock AR; Mooney; Orvik A; Thompson GL
[Ti] Título:Death Certificates: Cardiac Arrest is not a Cause of Death.
[So] Source:W V Med J;113(1):22-3, 2017 Jan-Feb.
[Is] ISSN:0043-3284
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Causas de Morte
Competência Clínica
Atestado de Óbito
Parada Cardíaca
[Mh] Termos MeSH secundário: Seres Humanos
Controle de Qualidade
[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:180127
[St] Status:MEDLINE


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Texto completo SciELO Saúde Pública
[PMID]:28453098
[Au] Autor:González-Mariño MA
[Ad] Endereço:Facultad de Medicina, Universidad Nacional de Colombia, San Martín, Colombia.
[Ti] Título:[Causes of death from breast cancer in Colombia].
[Ti] Título:Causas de muerte por cáncer de mama en Colombia..
[So] Source:Rev Salud Publica (Bogota);18(3):344-353, 2016 Jun.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To review the direct causes of death from breast cancer in Colombia according to data from death certificates in 2008. Material and Methods We reviewed the direct causes of death in patients whose code of underlying cause of death was malignant tumor of the breast according to the National Statistics Department of Colombia's (DANE from Spanish initials) records of death in 2008. Distribution is evaluated by diagnostic code, age, educational level, marital status, social security and place of death. Results In women, the main direct causes of death were respiratory insufficiency or failure, cardiac arrest, multiple or multisystem organ failure, breast cancer and metastatic breast cancer. Most of the death codes were C509 and they were issued for women over 50 years. In men, the most common cause was respiratory failure. Conclusions The main denominations listed on death records as a direct cause of death from breast cancer were respiratory failure and arrest and cardiopulmonary arrest. However, it is evident that this arises from problems in the registry that are the result of not following the International Classification of Diseases (ICD-10). Improving the quality of death records is required so that all the information given by the death certificates can be used more effectively.
[Mh] Termos MeSH primário: Neoplasias da Mama/mortalidade
[Mh] Termos MeSH secundário: Adulto
Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Neoplasias da Mama Masculina/mortalidade
Causas de Morte
Colômbia/epidemiologia
Atestado de Óbito
Feminino
Parada Cardíaca/mortalidade
Seres Humanos
Masculino
Meia-Idade
Insuficiência Respiratória/mortalidade
Distribuição por Sexo
Fatores Socioeconômicos
[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



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