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[PMID]:29480857
[Au] Autor:Shi M; Qi H; Ding H; Chen F; Xin Z; Zhao Q; Guan S; Shi H
[Ad] Endereço:Department of Ultrasound, Qianfoshan Hospital Affiliated to Shandong University, Jinan.
[Ti] Título:Electrophysiological examination and high frequency ultrasonography for diagnosis of radial nerve torsion and compression.
[So] Source:Medicine (Baltimore);97(2):e9587, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aims to evaluate the value of electrophysiological examination and high frequency ultrasonography in the differential diagnosis of radial nerve torsion and radial nerve compression.Patients with radial nerve torsion (n = 14) and radial nerve compression (n = 14) were enrolled. The results of neurophysiological and high frequency ultrasonography were compared.Electrophysiological examination and high-frequency ultrasonography had a high diagnostic rate for both diseases with consistent results. Of the 28 patients, 23 were positive for electrophysiological examination, showing decreased amplitude and decreased conduction velocity of radial nerve; however, electrophysiological examination cannot distinguish torsion from compression. A total of 27 cases showed positive in ultrasound examinations among all 28 cases. On ultrasound images, the nerve was thinned at torsion site whereas thickened at the distal ends of torsion. The diameter and cross-sectional area of torsion or compression determined the nerve damage, and ultrasound could locate the nerve injury site and measure the length of the nerve.Electrophysiological examination and high-frequency ultrasonography can diagnose radial neuropathy, with electrophysiological examination reflecting the neurological function, and high-frequency ultrasound differentiating nerve torsion from compression.
[Mh] Termos MeSH primário: Eletrodiagnóstico
Síndromes de Compressão Nervosa/diagnóstico
Nervo Radial/diagnóstico por imagem
Nervo Radial/fisiopatologia
Neuropatia Radial/diagnóstico
Ultrassonografia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Diagnóstico Diferencial
Feminino
Seres Humanos
Masculino
Síndromes de Compressão Nervosa/fisiopatologia
Síndromes de Compressão Nervosa/cirurgia
Condução Nervosa
Nervo Radial/cirurgia
Neuropatia Radial/fisiopatologia
Neuropatia Radial/cirurgia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009587


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[PMID]:29397523
[Au] Autor:Robson AG; Nilsson J; Li S; Jalali S; Fulton AB; Tormene AP; Holder GE; Brodie SE
[Ad] Endereço:Department of Electrophysiology, Moorfields Eye Hospital, 162 City Road, London, UK. anthony.robson@moorfields.nhs.uk.
[Ti] Título:ISCEV guide to visual electrodiagnostic procedures.
[So] Source:Doc Ophthalmol;136(1):1-26, 2018 02.
[Is] ISSN:1573-2622
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Clinical electrophysiological testing of the visual system incorporates a range of noninvasive tests and provides an objective indication of function relating to different locations and cell types within the visual system. This document developed by the International Society for Clinical Electrophysiology of Vision provides an introduction to standard visual electrodiagnostic procedures in widespread use including the full-field electroretinogram (ERG), the pattern electroretinogram (pattern ERG or PERG), the multifocal electroretinogram (multifocal ERG or mfERG), the electrooculogram (EOG) and the cortical-derived visual evoked potential (VEP). The guideline outlines the basic principles of testing. Common clinical presentations and symptoms are described with illustrative examples and suggested investigation strategies.
[Mh] Termos MeSH primário: Eletrodiagnóstico/normas
Eletroculografia
Eletrofisiologia/organização & administração
Eletrorretinografia/métodos
Potenciais Evocados Visuais
Guias de Prática Clínica como Assunto
[Mh] Termos MeSH secundário: Seres Humanos
Agências Internacionais
Doenças do Nervo Óptico/diagnóstico
Doenças Retinianas/diagnóstico
Sociedades Médicas
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180205
[St] Status:MEDLINE
[do] DOI:10.1007/s10633-017-9621-y


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[PMID]:28862518
[Au] Autor:Hwang H; Wang KC; Bang MS; Shin HI; Kim SK; Phi JH; Lee JY; Choi J; Cha S; Kim K
[Ad] Endereço:Departments of 1 Rehabilitation Medicine.
[Ti] Título:Optimal stimulation parameters for intraoperative bulbocavernosus reflex in infants.
[So] Source:J Neurosurg Pediatr;20(5):464-470, 2017 Nov.
[Is] ISSN:1933-0715
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE The aim of this study was to establish optimal electric stimulation parameters for intraoperatively monitoring the bulbocavernosus reflexes (BCRs) in infants. METHODS The authors retrospectively reviewed the medical records of all infants (age < 24 months) who had undergone an untethering operation for tethered cord syndrome between May 2013 and February 2014 at a single institution and whose baseline BCR had been elicited during surgery. Using different combinations of stimulation parameters-number of stimulation pulses: 4 or 8 pulses, interpulse interval: 1, 2, or 5 msec, and polarity of stimulation: biphasic or monophasic-the authors compared the relative mean amplitude of 10 BCR responses (rmaBCRs) to each combination of parameters. RESULTS The rmaBCRs were larger with the 8-pulse stimulations than with the 4-pulse stimulations (p < 0.0001). There was a tendency, though not statistically significant, for larger rmaBCRs to be obtained with the longer interpulse interval in the 8-pulse stimulation (p = 0.1289). The biphasic stimulation produced larger rmaBCRs than the monophasic stimulation (p = 0.0005). CONCLUSIONS Biphasic 8-pulse stimulations with 5-msec or 2-msec intervals yield the largest BCR responses. Considering that an 8-pulse stimulation with 5-msec intervals may overlap the onset of the BCR, a biphasic 8-pulse stimulation with 2-msec intervals is recommended as the optimal stimulation paradigm to monitor intraoperative BCRs in infants.
[Mh] Termos MeSH primário: Estimulação Elétrica/métodos
Eletrodiagnóstico/métodos
Reflexo
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Masculino
Defeitos do Tubo Neural/diagnóstico
Defeitos do Tubo Neural/fisiopatologia
Defeitos do Tubo Neural/cirurgia
Reflexo/fisiologia
Estudos Retrospectivos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[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:170902
[St] Status:MEDLINE
[do] DOI:10.3171/2017.6.PEDS16664


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[PMID]:28710923
[Au] Autor:Kural MA; Karlsson P; Pugdahl K; Isak B; Fuglsang-Frederiksen A; Tankisi H
[Ad] Endereço:Department of Clinical Neurophysiology, Aarhus University Hospital, Aarhus, Denmark.
[Ti] Título:Diagnostic utility of distal nerve conduction studies and sural near-nerve needle recording in polyneuropathy.
[So] Source:Clin Neurophysiol;128(9):1590-1595, 2017 Sep.
[Is] ISSN:1872-8952
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The electrodiagnosis of polyneuropathy (PNP) may benefit from examination using near-nerve needle technique (NNT) and from inclusion of distal nerves. This study compared the diagnostic utility of distal nerve conduction studies (NCS) and NNT recording. METHODS: Bilateral NNT and surface recording of the sural nerve and surface recording of the dorsal sural and medial plantar nerves were prospectively done in 91 patients with clinically suspected PNP. Distal NCS were additionally done in 37 healthy controls. Diagnostic reference standard was the final clinical diagnosis retrieved from the patients medical records after 1-4years. RESULTS: The clinical follow-up diagnosis confirmed PNP in 68 patients. Equally high sensitivities of the dorsal sural (72%), medial plantar (75%), and sural nerve with NNT recording (77%) were seen, while the sensitivity of conventional surface recording of the sural nerve was lower (60%). Sural NCS with both NNT and surface recording and dorsal sural NCS showed high specificities (85-95%) and positive predictive values (94-98%), while a lower specificity was seen for the medial plantar nerve (68%). CONCLUSION: NCS of distal nerves, especially the dorsal sural nerve, have high diagnostic power equalling sural NNT recording. SIGNIFICANCE: The electrodiagnostic evaluation of patients with suspected PNP benefits from NCS of distal nerves.
[Mh] Termos MeSH primário: Agulhas
Condução Nervosa/fisiologia
Polineuropatias/diagnóstico
Polineuropatias/fisiopatologia
Nervo Sural/fisiopatologia
Nervo Tibial/fisiopatologia
[Mh] Termos MeSH secundário: Potenciais de Ação/fisiologia
Adulto
Idoso
Eletrodiagnóstico/instrumentação
Eletrodiagnóstico/métodos
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170716
[St] Status:MEDLINE


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[PMID]:28552867
[Au] Autor:Yamamoto J; Hokkoku K; Hatanaka Y; Sakoda S; Yuan JH; Sonoo M
[Ad] Endereço:Department of Neurology, Teikyo University School of Medicine.
[Ti] Título:An unusual case of sodium channel myotonia with transient weakness upon initiating movements which is characteristic in Becker disease.
[So] Source:Rinsho Shinkeigaku;57(6):287-292, 2017 06 28.
[Is] ISSN:1882-0654
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:We reported a 32-year-old man who was a sporadic case of myotonic syndrome with muscle stiffness or transient weakness of limbs upon initiating movements after rest. On examination, he showed painless myotonia with warm-up phenomenon, Hercules-like hypertrophic musculature and myotonic discharges in EMG. The clinical findings resembled to those of Becker disease rather than Thomsen disease. But electrodiagnosis suggested sodium channel myotonia instead of chloride channelopathy. Genetic testing detected a novel missense mutation (p.V1166A) in the SCN4A gene but not in the CLCN1 gene. Transient weakness upon initiating movements is usually observed in Becker disease but rare in Thomsen disease, which is not reported in sodium channel myotonia so far. He was probably the first case of sodium channel myotonia with transient weakness upon initiating movements, which was confirmed by 10 Hz repetitive nerve stimulation test as depolarization block.
[Mh] Termos MeSH primário: Eletrodiagnóstico
Movimento/fisiologia
Debilidade Muscular/diagnóstico
Miotonia Congênita/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Eletromiografia
Testes Genéticos
Seres Humanos
Masculino
Debilidade Muscular/complicações
Debilidade Muscular/fisiopatologia
Mutação de Sentido Incorreto
Miotonia Congênita/complicações
Miotonia Congênita/genética
Miotonia Congênita/patologia
Miotonia Congênita/fisiopatologia
Canal de Sódio Disparado por Voltagem NAV1.4/genética
Estimulação Elétrica Nervosa Transcutânea
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (NAV1.4 Voltage-Gated Sodium Channel); 0 (SCN4A protein, human)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170530
[St] Status:MEDLINE
[do] DOI:10.5692/clinicalneurol.cn-000980


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[PMID]:28545159
[Au] Autor:Narayanaswami P; Suk M; Jones LK
[Ad] Endereço:Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
[Ti] Título:The value transformation of health care: Impact on neuromuscular and electrodiagnostic medicine.
[So] Source:Muscle Nerve;56(4):679-683, 2017 Oct.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Beginning in 2017, most physicians who participate in Medicare are subject to the Medicare Access and CHIP Reauthorization Act (MACRA), the milestone legislation that signals the US health care system's transition from volume-based to value-based care. Here we review emerging trends in development of value-based healthcare systems in the US. MACRA and the resulting Quality Payment Program create 2 participation pathways, the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (AAPM) pathway. Although there are several program incentives for AAPM participation, to date there have been few AAPM options for specialists. MIPS and its widening bonus and penalty window will likely be the primary participation pathway in the early years of the program. Value-based payment has the potential to reshape health care delivery in the United States, with implications for neuromuscular and electrodiagnostic (EDX) specialists. Meaningful quality measures are required for neuromuscular and EDX specialists. Muscle Nerve 56: 679-683, 2017.
[Mh] Termos MeSH primário: Assistência à Saúde/economia
Eletrodiagnóstico/economia
Medicare/economia
Doenças Neuromusculares/economia
Médicos/economia
Reembolso de Incentivo/economia
[Mh] Termos MeSH secundário: Assistência à Saúde/tendências
Eletrodiagnóstico/tendências
Gastos em Saúde/tendências
Seres Humanos
Medicare/tendências
Doenças Neuromusculares/terapia
Médicos/tendências
Reembolso de Incentivo/tendências
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171009
[Lr] Data última revisão:
171009
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25699


  7 / 5678 MEDLINE  
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[PMID]:28545015
[Au] Autor:Fatehi F; Delmont E; Grapperon AM; Salort-Campana E; Sévy A; Verschueren A; Boucraut J; Attarian S
[Ad] Endereço:Referral Centre for ALS and Neuromuscular Diseases, La Timone University Hospital, Aix-Marseille University, France; Iranian Centre of Neurological Research, Shariati Hospital, Tehran University of Medical Sciences, Iran.
[Ti] Título:Motor unit number index (MUNIX) in patients with anti-MAG neuropathy.
[So] Source:Clin Neurophysiol;128(7):1264-1269, 2017 Jul.
[Is] ISSN:1872-8952
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate the relationship between Motor Unit Number Index (MUNIX) and functional scales in patients with anti-Myelin Associated Glycoprotein (MAG) neuropathy and to know if MUNIX is modify after rituximab (RTX) therapy. METHODS: 17 patients were enrolled, of whom 6 were prospectively evaluated during one year after RTX treatment. MUNIX technique was assessed in abductor digiti mini (ADM), abductor pollicis brevi (APB) and tibialis anterior (TA) muscles. MUNIX sum score was calculated by adding the results of ADM, APB and TA muscles. RESULTS: MUNIX sum score was correlated with overall neuropathy limitation scale (ONLS) (r=-0.55, p=0.02), grip strength in dominant hand (r=0.63, p=0.01) MRC testing (r=0.71, p<0.001) and CMAP sum score (r=0.71, p=0.001). Twelve months after RTX, four patients improved their disability measured on the ONLS score, five patients had improved MUNIX sum score with a median increase of 37% compared to initial evaluation. CONCLUSIONS: MUNIX is related to motor impairment and disability in anti-MAG neuropathy and MUNIX is modified after immunosuppressive treatment. SIGNIFICANCE: Considering its advantages, MUNIX may be a suitable test to evaluate anti-MAG neuropathy in clinical trials.
[Mh] Termos MeSH primário: Eletrodiagnóstico/métodos
Neurônios Motores/fisiologia
Glicoproteína Associada a Mielina
Doenças do Sistema Nervoso Periférico/fisiopatologia
Recrutamento Neurofisiológico/fisiologia
[Mh] Termos MeSH secundário: Idoso
Eletromiografia/métodos
Feminino
Seguimentos
Seres Humanos
Fatores Imunológicos/uso terapêutico
Masculino
Meia-Idade
Doenças do Sistema Nervoso Periférico/diagnóstico
Doenças do Sistema Nervoso Periférico/tratamento farmacológico
Estudos Prospectivos
Rituximab/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Immunologic Factors); 0 (Myelin-Associated Glycoprotein); 4F4X42SYQ6 (Rituximab)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE


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[PMID]:28543877
[Au] Autor:Robinson LR
[Ad] Endereço:Sunnybrook Health Sciences Centre, St. John's Rehab Hospital, S125, University of Toronto, 285 Cummer Avenue, Toronto, Ontario, M2M 2G1, Canada.
[Ti] Título:It's time to move on from the bell curve.
[So] Source:Muscle Nerve;56(5):859-860, 2017 Nov.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The bell curve was first described in the 18th century by de Moivre and Gauss to depict the distribution of binomial events, such as coin tossing, or repeated measures of physical objects. In the 19th and 20th centuries, the bell curve was appropriated, or perhaps misappropriated, to apply to biologic and social measures across people. For many years we used it to derive reference values for our electrophysiologic studies. There is, however, no reason to believe that electrophysiologic measures should approximate a bell-curve distribution, and empiric evidence suggests they do not. The concept of using mean ± 2 standard deviations should be abandoned. Reference values are best derived by using non-parametric analyses, such as percentile values. This proposal aligns with the recommendation of the recent normative data task force of the American Association of Neuromuscular & Electrodiagnostic Medicine and follows sound statistical principles. Muscle Nerve 56: 859-860, 2017.
[Mh] Termos MeSH primário: Eletrodiagnóstico
Eletrofisiologia
Estatística como Assunto
[Mh] Termos MeSH secundário: Eletrodiagnóstico/métodos
Eletrodiagnóstico/normas
Seres Humanos
Valores de Referência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25695


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[PMID]:28521265
[Au] Autor:Uncini A; Ippoliti L; Shahrizaila N; Sekiguchi Y; Kuwabara S
[Ad] Endereço:Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio", via Luigi Polacchi 11, 66100 Chieti, Italy. Electronic address: uncini@unich.it.
[Ti] Título:Optimizing the electrodiagnostic accuracy in Guillain-Barré syndrome subtypes: Criteria sets and sparse linear discriminant analysis.
[So] Source:Clin Neurophysiol;128(7):1176-1183, 2017 Jul.
[Is] ISSN:1872-8952
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To optimize the electrodiagnosis of Guillain-Barré syndrome (GBS) subtypes at first study. METHODS: The reference electrodiagnosis was obtained in 53 demyelinating and 45 axonal GBS patients on the basis of two serial studies and results of anti-ganglioside antibodies assay. We retrospectively employed sparse linear discriminant analysis (LDA), two existing electrodiagnostic criteria sets (Hadden et al., 1998; Rajabally et al., 2015) and one we propose that additionally evaluates duration of motor responses, sural sparing pattern and defines reversible conduction failure (RCF) in motor and sensory nerves at second study. RESULTS: At first study the misclassification error rates, compared to reference diagnoses, were: 15.3% for sparse LDA, 30% for our criteria, 45% for Rajabally's and 48% for Hadden's. Sparse LDA identified seven most powerful electrophysiological variables differentiating demyelinating and axonal subtypes and assigned to each patient the diagnostic probability of belonging to either subtype. At second study 46.6% of axonal GBS patients showed RCF in two motor and 8.8% in two sensory nerves. CONCLUSIONS: Based on a single study, sparse LDA showed the highest diagnostic accuracy. RCF is present in a considerable percentage of axonal patients. SIGNIFICANCE: Sparse LDA, a supervised statistical method of classification, should be introduced in the electrodiagnostic practice.
[Mh] Termos MeSH primário: Eletrodiagnóstico/métodos
Eletrodiagnóstico/normas
Síndrome de Guillain-Barré/diagnóstico
Síndrome de Guillain-Barré/fisiopatologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Análise Discriminante
Feminino
Seres Humanos
Masculino
Meia-Idade
Condução Nervosa/fisiologia
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170519
[St] Status:MEDLINE


  10 / 5678 MEDLINE  
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[PMID]:28514341
[Au] Autor:Makeeva IM; Volkov AG; Dikopova NZ; Talalaev EG
[Ad] Endereço:I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
[Ti] Título:[Endodontic treatment efficacy enhancement by means of instrumental physiotherapy].
[Ti] Título:Povyshenie éffektivnosti éndodonticheskogo lecheniia s pomoshch'iu apparaturnykh metodov..
[So] Source:Stomatologiia (Mosk);96(2):17-19, 2017.
[Is] ISSN:0039-1735
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The article describes in detail and examines the prospects of such methods as electroodontodiagnosis, diathermocoagulation and apex-phoresis. It proves the necessity of development and standardization of devices for the mentioned treatment modalities that will improve the effectiveness an quality of caries complications treatment.
[Mh] Termos MeSH primário: Doenças da Polpa Dentária/diagnóstico
Doenças da Polpa Dentária/terapia
Teste da Polpa Dentária/instrumentação
Terapia por Estimulação Elétrica/instrumentação
Eletrodiagnóstico/instrumentação
Endodontia/instrumentação
[Mh] Termos MeSH secundário: Cárie Dentária/complicações
Doenças da Polpa Dentária/etiologia
Eletrocoagulação/instrumentação
Seres Humanos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170518
[St] Status:MEDLINE
[do] DOI:10.17116/stomat201796217-19



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