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[PMID]:29190055
[Au] Autor:Punkkinen J; Haak R; Kaartinen M; Walamies M
[Ti] Título:Help from habit reversal for supragastric belching.
[So] Source:Duodecim;132(22):2073-9, 2016.
[Is] ISSN:0012-7183
[Cp] País de publicação:Finland
[La] Idioma:eng
[Ab] Resumo:Supragastric belching differs from common gastric belching. It can be detected by 24-hour intra-esophageal impedance monitoring. Belching is seldom the only symptom: reflux symptom is present in 95% and dysphagia in 65% of the patients. In supragastric belching, the air does not come from the stomach but instead from the esophagus. Belching is caused by the patient him/herself swallowing air into the esophagus. This voluntary but unconscious symptom is treated by therapy in which explaining the mechanism of belching for the patient and learning of correct diaphragmatic breathing technique play a central role. Habit reversal is utilized for teaching the patient to react correctly to preemptive symptoms.
[Mh] Termos MeSH primário: Aerofagia/prevenção & controle
Eructação/prevenção & controle
Hábitos
[Mh] Termos MeSH secundário: Aerofagia/complicações
Aerofagia/fisiopatologia
Impedância Elétrica
Eructação/etiologia
Eructação/fisiopatologia
Esôfago/fisiopatologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


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[PMID]:27492915
[Au] Autor:Cotter TG; Gurney M; Loftus CG
[Ad] Endereço:Department of Internal Medicine, Mayo Clinic, Rochester, MN.
[Ti] Título:Gas and Bloating-Controlling Emissions: A Case-Based Review for the Primary Care Provider.
[So] Source:Mayo Clin Proc;91(8):1105-13, 2016 Aug.
[Is] ISSN:1942-5546
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The evaluation of the patient with gas and bloating can be complex and the treatment extremely challenging. In this article, a simplified approach to the history and relevant physical examination is presented and applied in a case-oriented manner, suitable for application in the primary care setting.
[Mh] Termos MeSH primário: Dieta
Eructação
Flatulência
Dilatação Gástrica
Síndrome do Intestino Irritável/complicações
[Mh] Termos MeSH secundário: Dor Abdominal/etiologia
Dor Abdominal/fisiopatologia
Adulto
Aerofagia/complicações
Aerofagia/etiologia
Comorbidade
Constipação Intestinal/complicações
Diagnóstico Diferencial
Dieta/efeitos adversos
Dieta/normas
Endoscopia do Sistema Digestório
Eructação/diagnóstico
Eructação/etiologia
Eructação/terapia
Feminino
Flatulência/diagnóstico
Flatulência/etiologia
Flatulência/terapia
Dilatação Gástrica/diagnóstico
Dilatação Gástrica/etiologia
Dilatação Gástrica/terapia
Gastroparesia/complicações
Gastroparesia/fisiopatologia
Seres Humanos
Síndrome do Intestino Irritável/diagnóstico
Masculino
Anamnese/métodos
Anamnese/normas
Meia-Idade
Distúrbios do Assoalho Pélvico/complicações
Período Pós-Prandial/fisiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170526
[Lr] Data última revisão:
170526
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160806
[St] Status:MEDLINE


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[PMID]:26348686
[Au] Autor:Nassar-Sheikh Rashid A; Taminiau JA; Benninga MA; Saps M; Tabbers MM
[Ad] Endereço:Emma Children's Hospital/Academic Medical Center, Amsterdam, The Netherlands.
[Ti] Título:Definitions and Outcome Measures in Pediatric Functional Upper Gastrointestinal Tract Disorders: A Systematic Review.
[So] Source:J Pediatr Gastroenterol Nutr;62(4):581-7, 2016 04.
[Is] ISSN:1536-4801
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Functional disorders of the upper gastrointestinal tract are frequently diagnosed in children. Four different clinical entities are addressed by the Rome III committee: functional dyspepsia (FD), cyclic vomiting syndrome (CVS), adolescent rumination syndrome (ARS), and aerophagia. Management of these disorders is often difficult leading to a wide variety in therapeutic interventions. We hypothesize that definitions and outcome measures in these studies are heterogeneous as well. Our aim is to systematically assess how these disorders and outcomes are defined in therapeutic randomized controlled trials (RCTs). STUDY DESIGN: CENTRAL, Embase, and MEDLINE/PubMed were searched from inception to February 25, 2015. Search terms were FD, CVS, ARS, and aerophagia. Therapeutic RCTs, or systematic reviews of RCTs, in English language including subjects ages 4 to 18 years (0-18 years for CVS) were evaluated. Quality was assessed using the Delphi list. RESULTS: A total of 1398 articles were found of which 8 articles were included. Seven concerned FD and 1 concerned CVS. In all of the studies, Rome criteria or similar definitions were used; all the studies however used different outcome measures. Seventy-five percent of the trials were of good methodological quality. Only 57% used validated pain scales. CONCLUSIONS: Different outcome measures are used in therapeutic trials on functional disorders of the upper gastrointestinal tract. There is a clear paucity of trials evaluating different treatment regimens regarding CVS, ARS, and aerophagia. Uniform definitions, outcome measures, and validated instruments are needed to make a comparison between intervention studies possible.
[Mh] Termos MeSH primário: Aerofagia/diagnóstico
Dispepsia/diagnóstico
Medicina Baseada em Evidências
Transtornos de Alimentação na Infância/diagnóstico
Pediatria/métodos
Trato Gastrointestinal Superior/fisiopatologia
Vômito/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Aerofagia/fisiopatologia
Aerofagia/terapia
Criança
Dispepsia/fisiopatologia
Dispepsia/terapia
Transtornos de Alimentação na Infância/fisiopatologia
Transtornos de Alimentação na Infância/terapia
Seres Humanos
Lactente
Avaliação de Resultados (Cuidados de Saúde)/tendências
Pediatria/tendências
Guias de Prática Clínica como Assunto
Qualidade de Vida
Ensaios Clínicos Controlados Aleatórios como Assunto
Vômito/fisiopatologia
Vômito/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150909
[St] Status:MEDLINE
[do] DOI:10.1097/MPG.0000000000000973


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[PMID]:26586352
[Au] Autor:Sohn KC; Jeong YH; Jo DH; Heo WG; Yeom DH; Choi SC; Ryu HS
[Ad] Endereço:Division of Gastroenterology, Department of Internal Medicine, Digestive Disease Research Institute, Wonkwang University College of Medicine, Iksan, Korea.
[Ti] Título:A Case of Aerophagia Diagnosed by Multichannel Intraluminal Impedance Monitoring.
[So] Source:Korean J Gastroenterol;66(5):282-5, 2015 Nov.
[Is] ISSN:2233-6869
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Aerophagia is a disorder caused by abnormal accumulation of air in the gastrointestinal tract as a result of repetitive and frequent inflow of air through the mouth. For the diagnosis of this condition, it is difficult to objectively measure the air swallowing. However, multichannel intraluminal impedance monitoring facilitates the differential diagnosis between normal air swallowing and pathologic aerophagia, and can aid in the determination of the frequency and amount of air swallowed. In this report, in addition to a literature review, we describe a case of 36-year-old man with abdominal distension who was diagnosed with aerophagia using esophageal impedance monitoring and was treated with clonazepam.
[Mh] Termos MeSH primário: Aerofagia/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Aerofagia/diagnóstico por imagem
Aerofagia/tratamento farmacológico
Anticonvulsivantes/uso terapêutico
Clonazepam/uso terapêutico
Diagnóstico Diferencial
Impedância Elétrica
Seres Humanos
Masculino
Transtornos Mentais/complicações
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticonvulsants); 5PE9FDE8GB (Clonazepam)
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170309
[Lr] Data última revisão:
170309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151121
[St] Status:MEDLINE
[do] DOI:10.4166/kjg.2015.66.5.282


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Texto completo SciELO Brasil
[PMID]:26486285
[Au] Autor:Silva AC; Aprile LR; Dantas RO
[Ad] Endereço:Departamento de Medicina|Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR.
[Ti] Título:EFFECT OF GUM CHEWING ON AIR SWALLOWING, SALIVA SWALLOWING AND BELCHING.
[So] Source:Arq Gastroenterol;52(3):190-4, 2015 Jul-Sep.
[Is] ISSN:1678-4219
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Eructation is a physiologic event which allows gastric venting of swallowed air and most of the time is not perceived as a symptom. This is called gastric belching. Supragastric belching occurs when swallowed air does not reach the stomach and returns by mouth a short time after swallowing. This situation may cause discomfort, life limitations and problems in daily life. OBJECTIVE: Our objective in this investigation was to evaluate if gum chewing increases the frequency of gastric and/or supragastric belches. METHODS: Esophageal transit of liquid and gas was evaluated by impedance measurement in 16 patients with complaint of troublesome belching and in 15 controls. The Rome III criteria were used in the diagnosis of troublesome belching. The esophageal transit of liquid and gas was measured at 5 cm, 10 cm, 15 cm and 20 cm from the lower esophageal sphincter. The subjects were evaluated for 1 hour which was divided into three 20-minute periods: (1) while sitting for a 20-minute base period; (2) after the ingestion of yogurt (200 mL, 190 kcal), in which the subjects were evaluated while chewing or not chewing gum; (3) final 20-minute period in which the subjects then inverted the task of chewing or not chewing gum. In gastric belch, the air flowed from the stomach through the esophagus in oral direction and in supragastric belch the air entered the esophagus rapidly from proximal and was expulsed almost immediately in oral direction. Air swallows were characterized by an increase of at least 50% of basal impedance and saliva swallow by a decrease of at least 50% of basal impedance, that progress from proximal to distal esophagus. RESULTS: In base period, air swallowing was more frequent in patients than in controls and saliva swallowing was more frequent in controls than in patients. There was no difference between the medians of controls and patients in the number of gastric belches and supragastric belches. In six patients, supragastric belches were seen at least once during the 20-minute base period. None of the controls had supragastric belches. In the control group, the ingestion of yogurt caused no significant alteration in the number of air swallows, saliva swallows, gastric belches and supragastric belches. In the patient group, there was an increase in the number of air swallows. If the subjects were chewing gum during this 20-minute period, there was an increase in the number of saliva swallows in both groups, without alterations of the number of air swallow, gastric belches and supragastric belches. There was no alteration in the number of the saliva swallows, air swallows, gastric belches and supragastric belches in both groups for subjects who did not chew gum in the 20-40 minute period after yogurt ingestion. When the subjects were chewing the gum, there was an increase in saliva swallows in the control and patients groups and in air swallows in the patients group. CONCLUSION: Gum chewing causes an increase in saliva swallowing in both patients with excessive belching and in controls, and an increase in air swallowing in patients with excessive belching 20 minutes after yogurt ingestion. Gum chewing did not increase or decrease the frequency of gastric or supragastric belches.
[Mh] Termos MeSH primário: Aerofagia/etiologia
Goma de Mascar/efeitos adversos
Eructação/etiologia
Saliva
[Mh] Termos MeSH secundário: Adulto
Estudos de Casos e Controles
Deglutição
Esôfago/fisiopatologia
Feminino
Seres Humanos
Masculino
Mastigação
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Chewing Gum)
[Em] Mês de entrada:1604
[Cu] Atualização por classe:151021
[Lr] Data última revisão:
151021
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151022
[St] Status:MEDLINE


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[PMID]:26100594
[Au] Autor:de Jesus LE; Cestari AB; Filho OC; Fernandes MA; Firme LH
[Ad] Endereço:Universidade Federal Fluminense (UFF), Niterói, RJ, Brasil. Electronic address: lisieux@uol.com.br.
[Ti] Título:[Pathologic aerophagia: a rare cause of chronic abdominal distension].
[Ti] Título:Aerofagia patológica: uma causa rara de distensão abdominal crônica..
[So] Source:Rev Paul Pediatr;33(3):372-6, 2015 Jul-Sep.
[Is] ISSN:1984-0462
[Cp] País de publicação:Brazil
[La] Idioma:por
[Ab] Resumo:OBJECTIVE: To describe an adolescent with pathologic aerophagia, a rare condition caused by excessive and inappropriate swallowing of air and to review its treatment and differential diagnoses. CASE DESCRIPTION: An 11 year-old mentally impaired blind girl presenting serious behavior problems and severe developmental delay with abdominal distension from the last 8 months. Her past history included a Nissen fundoplication. Abdominal CT and abdominal radiographs showed diffuse gas distension of the small bowel and colon. Hirschsprung's disease was excluded. The distention was minimal at the moment the child awoke and maximal at evening, and persisted after control of constipation. Audible repetitive and frequent movements of air swallowing were observed. The diagnosis of pathologic aerophagia associated to obsessive compulsive disorder and developmental delay was made, but pharmacological treatment was unsuccessful. The patient was submitted to an endoscopic gastrostomy, permanently opened and elevated relative to the stomach. The distention was resolved, while maintaining oral nutrition COMMENTS: Pathologic aerophagia is a rare self-limiting condition in normal children exposed to high levels of stress and may be a persisting problem in children with psychiatric or neurologic disease. In this last group, the disease may cause serious complications. Pharmacological and behavioral treatments are ill-defined. Severe cases may demand surgical strategies, mainly decompressive gastrostomy.
[Mh] Termos MeSH primário: Abdome/patologia
Aerofagia/complicações
[Mh] Termos MeSH secundário: Criança
Doença Crônica
Dilatação Patológica/etiologia
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170721
[Lr] Data última revisão:
170721
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150624
[St] Status:MEDLINE


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[PMID]:25073665
[Au] Autor:Ryu HS; Choi SC; Lee JS
[Ad] Endereço:Institute for Digestive Research, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul 140-743, Korea.
[Ti] Título:[Belching (eructation)].
[So] Source:Korean J Gastroenterol;64(1):4-9, 2014 Jul.
[Is] ISSN:2233-6869
[Cp] País de publicação:Korea (South)
[La] Idioma:kor
[Ab] Resumo:Belching is a normal physiological function that may occur when ingested air accumulated in the stomach is expelled or when food containing air and gas produced in the gastrointestinal tract is expelled. Excessive belching can cause patients to complain of abdominal discomfort, disturbed daily life activities, decreased quality of life and may be related to various gastrointestinal disorders such as gastroesophageal reflux disease, functional dyspepsia, aerophagia and rumination syndrome. Belching disorders can be classified into aerophagia and unspecified belching disorder according to the Rome III criteria. Since the introduction of multichannel intraluminal impedance monitoring, efforts are being made to elucidate the types and pathogenic mechanisms of belching disorders. Treatment modalities such as behavioral therapy, speech therapy, baclofen, tranquilizers and proton pump inhibitors can be attempted, but further investigations on the effective treatment of belching disorders are warranted.
[Mh] Termos MeSH primário: Eructação/patologia
[Mh] Termos MeSH secundário: Aerofagia
Terapia Comportamental
Eructação/metabolismo
Eructação/terapia
Seres Humanos
Relaxantes Musculares Centrais/uso terapêutico
Inibidores da Bomba de Prótons/uso terapêutico
Qualidade de Vida
Fonoterapia
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Muscle Relaxants, Central); 0 (Proton Pump Inhibitors)
[Em] Mês de entrada:1504
[Cu] Atualização por classe:170309
[Lr] Data última revisão:
170309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140731
[St] Status:MEDLINE


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[PMID]:24796405
[Au] Autor:Halb C; Pomerleau M; Faure C
[Ad] Endereço:Division of Pediatric Gastroenterology, Department of Pediatrics, CHU Ste-Justine, Montréal, QC, Canada.
[Ti] Título:Multichannel intraesophageal impedance pattern of children with aerophagia.
[So] Source:Neurogastroenterol Motil;26(7):1010-4, 2014 Jul.
[Is] ISSN:1365-2982
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Childhood aerophagia is defined by the Rome III criteria as two or more of the following symptoms; air swallowing, abdominal distension due to intraluminal air, or repetitive belching and/or flatus. The aim of this study was to determine the multichannel intraesophageal impedance (MII) pattern in children suffering from aerophagia. METHODS: We compared the MII tracings of five children with aerophagia according to Rome III criteria (three girls, median age 7 years) to five controls (three girls, median age 8 years). Controls underwent MII for symptoms of gastro-esophageal reflux, and had normal findings. Liquid swallows (LS), air swallows (AS), mixed swallows (MS) and supragastric belching (SGB) were recorded. Meals were excluded from the analysis. All MII parameters were separately analyzed in the upright and recumbent position. All data are reported as median number of events per hour. KEY RESULTS: There was no difference in the total number of LS and MS between the two groups. However, the total number of AS in patients was significantly higher than in controls (26/h vs 5.5/h, p < 0.05) but only in the upright position (46/h vs 8.2 in control group, p < 0.05). SGB was noted only in patients with aerophagia (2.6/h vs 0/h, p < 0.01). CONCLUSIONS & INFERENCES: Children suffering from aerophagia have a specific MII pattern with an increased frequency of air swallows in the upright position and supragastric belching. MII may be used as a tool to confirm diagnosis of aerophagia in children.
[Mh] Termos MeSH primário: Aerofagia/diagnóstico
Eructação/diagnóstico
Esôfago/fisiopatologia
Refluxo Gastroesofágico/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Aerofagia/fisiopatologia
Criança
Pré-Escolar
Impedância Elétrica
Eructação/fisiopatologia
Feminino
Refluxo Gastroesofágico/fisiopatologia
Seres Humanos
Masculino
Manometria
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1502
[Cu] Atualização por classe:140626
[Lr] Data última revisão:
140626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140507
[St] Status:MEDLINE
[do] DOI:10.1111/nmo.12355


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[PMID]:24280810
[Au] Autor:Destrebecq AL; Elia G; Terzoni S; Angelastri G; Brenna G; Ricci C; Spanu P; Umbrello M; Iapichino G
[Ad] Endereço:Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano, Italia - michele.umbrello@ao-sanpaolo.it.
[Ti] Título:Aerophagia increases the risk of ventilator-associated pneumonia in critically-ill patients.
[So] Source:Minerva Anestesiol;80(4):410-8, 2014 Apr.
[Is] ISSN:1827-1596
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Gastric residual volume in ventilated critically ill may complicate gut function. Over the years studies suggested to tolerate progressively higher residuals. The relationship between such volumes and the development of ventilator-associated pneumonia (VAP) is still under debate. No reports deal with the relevant anecdotal finding of air in the stomach. Aim of the present study is to test the role of air in the development of VAPs. METHODS: Prospective observational trial in consecutive patients with a predicted length of ICU stay >3 days. The first 8 days of stay were studied. Sedation was targeted to have awake/cooperative patients. Early enteral nutrition was attempted. Gastric content was measured every 4 hours by 60 mL-syringe suction. Upper digestive intolerance (UDI) was defined as >2 consecutive findings of liquid >200 mL, aerophagia was defined as >2 consecutive findings of air >150 mL. RESULTS: Three hundred sixty-four patients enrolled, 43 developed VAP (11.8%). Patients were sedated with enteral (76% total time), intravenous (6%) or both (28%) drugs. Conscious sedation was achieved in 54% of the observations. 326 patients began enteral nutrition during the first 24 hours (1000 kcal median calorie intake). 10% developed UDI, 15% had aerophagia. No association was found between VAP and UDI (P=0.78), while significant association was found between VAP and aerophagia (OR=2.88, P<0.01). A sensitivity analysis, excluding patients admitted with respiratory infection, confirmed the results. CONCLUSION: High volumes of air in the stomach significantly increased the risk of developing VAP, while gastric residual volumes were not associated with the incidence of pneumonia.
[Mh] Termos MeSH primário: Aerofagia/complicações
Pneumonia Associada à Ventilação Mecânica/epidemiologia
Pneumonia Associada à Ventilação Mecânica/etiologia
[Mh] Termos MeSH secundário: Idoso
Estado Terminal
Nutrição Enteral
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Risco
Estômago
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1506
[Cu] Atualização por classe:140403
[Lr] Data última revisão:
140403
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:131128
[St] Status:MEDLINE


  10 / 216 MEDLINE  
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Texto completo
[PMID]:23772202
[Au] Autor:Shepherd K; Hillman D; Eastwood P
[Ti] Título:CPAP-induced aerophagia may precipitate gastroesophageal reflux.
[So] Source:J Clin Sleep Med;9(6):633-4, 2013 Jun 15.
[Is] ISSN:1550-9397
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Aerofagia/etiologia
Pressão Positiva Contínua nas Vias Aéreas/efeitos adversos
Refluxo Gastroesofágico/etiologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:COMMENT; JOURNAL ARTICLE
[Em] Mês de entrada:1402
[Cu] Atualização por classe:160204
[Lr] Data última revisão:
160204
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130618
[St] Status:MEDLINE
[do] DOI:10.5664/jcsm.2776



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