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[PMID]:29431943
[Au] Autor:Zheglova AV; Fedina IN
[Ti] Título:[Modern approaches to carrying out preventive examinations of workers of vibration-dangerous occupations].
[So] Source:Gig Sanit;95(11):1048-51, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The article presents scientific evidence showing the relevance and importance of addressing the issues of improvement of methods and approaches to the implementation of routine inspections of the working population, particularly the workers of vibration-dangerous occupations; the studied interrelationships between the exposure dose of vibration and noise will allow to include these investigations in a program of regular medical examinations of employees to detect early changes in the body of workers exposed to the vibration-dangerous impact.
[Mh] Termos MeSH primário: Doenças Profissionais
Exposição Ocupacional
Exame Físico/métodos
Saúde Pública
Vibração/efeitos adversos
[Mh] Termos MeSH secundário: Avaliação da Deficiência
Seres Humanos
Doenças Profissionais/diagnóstico
Doenças Profissionais/etiologia
Doenças Profissionais/prevenção & controle
Exposição Ocupacional/efeitos adversos
Exposição Ocupacional/análise
Exposição Ocupacional/prevenção & controle
Exposição Ocupacional/normas
Saúde da População
Saúde Pública/métodos
Saúde Pública/normas
Federação Russa
[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:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE


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[PMID]:28461528
[Au] Autor:Merola JF; Gottlieb AB
[Ad] Endereço:From the Department of Dermatology and Medicine, Division of Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Dermatology, New York Medical College, Valhalla, New York, USA. JFMEROLA@bwh.harvard.edu.
[Ti] Título:Practical Assessment of Psoriasis Clinical Severity in both Clinical Trials and Clinical Practice Settings: A Report from the GRAPPA 2016 Annual Meeting.
[So] Source:J Rheumatol;44(5):691-692, 2017 May.
[Is] ISSN:0315-162X
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:At the 2016 annual meeting of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), we presented the case for quantitatively assessing the extent of both psoriasis and psoriatic arthritis in the clinical setting, with a particular focus on the validation and expanded novel use of the PGAxBSA (static physician's global assessment × body surface area of involvement) in the era of targeted metrics. Herein, we summarize our presentation.
[Mh] Termos MeSH primário: Exame Físico
Psoríase/diagnóstico
[Mh] Termos MeSH secundário: Dermatologia
Seres Humanos
Reumatologia
Índice de Gravidade de Doença
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.3899/jrheum.170147


  3 / 32023 MEDLINE  
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[PMID]:29368480
[Au] Autor:Mohammed Y; Qazi ZN; Shuler FD; Garabekyan T
[Ti] Título:Hip Pain in the Pre-Arthritic Patient: A Guide for the Primary Care Physician.
[So] Source:W V Med J;112(5):48-53, 2016 Sep-Oct.
[Is] ISSN:0043-3284
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Adolescents and young adults (less than 30 years of age) with pre-arthritic hip pain constitute a diagnostic dilemma for the primary care physician. The most common underlying diagnoses range from benign muscle strains/joint sprains to stress reactions, insufficiency fractures, and tears involving the articular cartilage/labrum in the setting of femoroacetabular impingement, a hip shape abnormality that is present in up to 90% of this age group. Undetected or left untreated these seemingly innocuous disorders can result in significant loss of function and, in some cases, irreversible joint damage. Despite sharing common predisposing factors, many of the above diagnoses can be identified with a focused history and physical examination. Conservative management may be safely initiated without advanced imaging, reserving orthopaedic consultation for refractory cases or more serious diagnoses. The presented focused hip clinical examination has 98% sensitivity in localizing intra-articular hip pathology and will be helpful to direct appropriate referrals. This article will serve as a guide for primary care physicians undertaking the difficult task of evaluating and treating a young patient with hip pain.
[Mh] Termos MeSH primário: Artralgia/terapia
Terapia por Exercício
Articulação do Quadril/patologia
Exame Físico
Médicos de Atenção Primária
Encaminhamento e Consulta
[Mh] Termos MeSH secundário: Adolescente
Artralgia/diagnóstico por imagem
Artralgia/etiologia
Terapia por Exercício/métodos
Impacto Femoroacetabular/complicações
Guias como Assunto
Seres Humanos
Medição da Dor
Satisfação do Paciente
Exame Físico/métodos
Modalidades de Fisioterapia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE


  4 / 32023 MEDLINE  
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[PMID]:28460759
[Au] Autor:Patel A; Tomar NS; Bharani A
[Ad] Endereço:Department of Medicine, M.G.M. Medical College, Indore, M.P., India.
[Ti] Título:Utility of physical examination and comparison to echocardiography for cardiac diagnosis.
[So] Source:Indian Heart J;69(2):141-145, 2017 Mar - Apr.
[Is] ISSN:0019-4832
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To find out the accuracy of cardiac auscultation using non-digital stethoscope in physical diagnosis of cardiac diseases. METHODS: We enrolled 104 consecutive patients with abnormal cardiac auscultatory findings attending cardiology clinic and not previously evaluated by echocardiography. One time detailed cardiac physical examination followed by echocardiography within 1 month was undertaken. Agreement between two methods was calculated using mean pair percentage agreement, kappa statistics (κ) and calculation of 95% confidence interval (CI) for kappa statistics. RESULTS: Using kappa statistics, there was almost perfect agreement between cardiac auscultation and echocardiography for the detection of mitral stenosis (κ=0.865; CI 0.76-0.97) and ventricular septal defect (κ=0.872; CI=0.73-1.01). Substantial agreement was noted for aortic stenosis (κ=0.752; CI=0.56-0.94), pulmonary stenosis (κ=0.647; CI=0.33-0.97) and atrial septal defect (κ=0.646; CI=0.32-0.97), while moderate agreement was found for mitral regurgitation (κ=0.470; CI=0.30-0.64), aortic regurgitation (κ=0.456; CI=0.25-0.66) and tricuspid regurgitation (κ=0.575; CI=0.38-0.77). For combined mitral stenosis and mitral regurgitation lesions, almost perfect agreement was found for mitral stenosis (κ=0.842; CI=0.691-0.993) while fair agreement noted for mitral regurgitation (κ=0.255; CI=-0.008 to 0.518). CONCLUSION: Careful clinical auscultation using a stethoscope remains a valuable tool for cardiac diagnosis. Decision on initial diagnosis and management of valvular and congenital heart diseases should be based on clinical examination and integrating such information with echocardiography as required.
[Mh] Termos MeSH primário: Ecocardiografia/utilização
Cardiopatias/diagnóstico
Exame Físico/utilização
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Estudos Transversais
Feminino
Auscultação Cardíaca/métodos
Seres Humanos
Masculino
Meia-Idade
Reprodutibilidade dos Testes
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE


  5 / 32023 MEDLINE  
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[PMID]:28458495
[Au] Autor:Chhabra N; Chhabra A
[Ad] Endereço:Department of Dental Surgery, North DMC Medical College and Hindu Rao Hospital, Delhi, India.
[Ti] Título:Hemifacial Microsomia : Clinicoradiological Insight and Report of a Case.
[So] Source:Ethiop J Health Sci;27(1):91-94, 2017 Jan.
[Is] ISSN:2413-7170
[Cp] País de publicação:Ethiopia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Hemifacial microsomia is a congenital malformation characterized by deficiency in the amount of hard and soft tissue on one side of the face. It is primarily a syndrome of the first branchial arch, involving underdevelopment of the temporomandibular joint, masticatory muscles, mandibular ramus, ear and, occasionally, defects in facial nerve and muscles. CASE DETAILS: The clinical and radiological manifestations of a 14-year-old male patient having hemifacial microsomia is highlighted in this article to enhance our knowledge and diagnostic skill of this rare entity. CONCLUSION: This case illustrates that early diagnosis and intervention in a patient with hemifacial microsomia is quintessential for proper functioning and esthetics of the orofacial structures, which will lead to a better prognosis.
[Mh] Termos MeSH primário: Síndrome de Goldenhar/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Diagnóstico Diferencial
Síndrome de Goldenhar/diagnóstico por imagem
Seres Humanos
Masculino
Mandíbula/diagnóstico por imagem
Exame Físico/métodos
Radiografia Panorâmica/métodos
Articulação Temporomandibular/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  6 / 32023 MEDLINE  
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[PMID]:29422756
[Au] Autor:Hatef E; Alexander M; Vanderver BG; Fagan P; Albert M
[Ad] Endereço:Center for Population Health IT, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
[Ti] Título:Assessment of Annual Diabetic Eye Examination Using Telemedicine Technology Among Underserved Patients in Primary Care Setting.
[So] Source:Middle East Afr J Ophthalmol;24(4):207-212, 2017 Oct-Dec.
[Is] ISSN:0975-1599
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Digital retinal imaging with the application of telemedicine technology shows promising results for screening of diabetic retinopathy in the primary care setting without requiring an ophthalmologist on site. AIMS: We assessed whether the establishment of telemedicine technology was an effective and efficient way to increase completion of annual eye examinations among underserved, low-income (Medicaid) diabetic patients. SETTINGS AND DESIGN: A cross-sectional study in a primary care setting. SUBJECTS AND METHODS: Health care claims data were collected before the establishment of telemedicine technology in 2010 and after its implementation in 2012 for Medicaid patients at East Baltimore Medical Center (EBMC), an urban health center that is part of Johns Hopkins Health System. STATISTICAL ANALYSIS USED: The primary outcome measure was the compliance rate of patients with diabetic eye examinations; calculated as the number of diabetic patients with a completed telemedicine eye examination, divided by the total number of diabetic patients. RESULTS: In 2010, EBMC treated 213 Medicaid diabetic patients and in 2012 treated 228 Medicaid patients. In 2010, 47.89% of patients completed their annual diabetic eye examination while in 2012 it was 78.07% ( < 0.001). After adjustment for age, gender, HgBA1C, disease severity, using resource utilization band score as a proxy, and medication possession ratio; telemedicine technology significantly increased the compliance (odds ratio: 4.98, < 0.001). CONCLUSIONS: Adherence to annual eye examinations is low in the studied Medicaid diabetic population. Telemedicine technology in a primary care setting can increase compliance with annual eye examinations.
[Mh] Termos MeSH primário: Retinopatia Diabética/diagnóstico por imagem
Diagnóstico por Imagem/métodos
Exame Físico
Atenção Primária à Saúde/organização & administração
Telemedicina/métodos
Populações Vulneráveis
[Mh] Termos MeSH secundário: Glicemia/metabolismo
Estudos Transversais
Retinopatia Diabética/fisiopatologia
Feminino
Hemoglobina A Glicada/metabolismo
Seres Humanos
Masculino
Medicaid
Meia-Idade
Encaminhamento e Consulta
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Blood Glucose); 0 (Glycated Hemoglobin A); 0 (hemoglobin A1c protein, human)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE
[do] DOI:10.4103/meajo.MEAJO_19_16


  7 / 32023 MEDLINE  
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[PMID]:29194159
[Au] Autor:Clark CA
[Ti] Título:Evaluating Nurse Practitioner Students Through Objective Structured Clinical Examination.
[So] Source:Nurs Educ Perspect;36(1):53-54, 2015 Jan/Feb.
[Is] ISSN:1536-5026
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:: Medical schools' use of Objective Structured Clinical Examination (OSCE) for over 30 years proves the OSCE is an objective way to assess a variety of clinical skills. This pilot study determined the feasibility of using OSCE, together with a checklist tool, to evaluate nurse practitioner (NP) students' competency in obtaining a patient's health history and performing a complete physical examination. In this descriptive study, four NP faculty viewed a prerecorded OSCE video of a student/ patient encounter and scored it using a checklist to determine the student's competency. Faculty showed a strong degree of agreement in grading competence. Findings suggest OSCEs could be an effective means of student evaluation, but revising the checklist to align with NP national competencies would make it meaningful for NP evaluation specifically.
[Mh] Termos MeSH primário: Competência Clínica/normas
Educação Baseada em Competências/normas
Avaliação Educacional/métodos
Anamnese/normas
Profissionais de Enfermagem/educação
Exame Físico/normas
[Mh] Termos MeSH secundário: Adulto
Lista de Checagem
Feminino
Seres Humanos
Masculino
Projetos Piloto
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.5480/13-1078.1


  8 / 32023 MEDLINE  
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[PMID]:29433477
[Au] Autor:Li Y; Huang W; Qiqige A; Zhang H; Jin L; Ti P; Yip J; Xiao B
[Ad] Endereço:The Affiliated Eye Hospital of Nanchang University, Nanchang City, China.
[Ti] Título:Prevalence and causes of blindness, visual impairment among different ethnical minority groups in Xinjiang Uygur autonomous region, China.
[So] Source:BMC Ophthalmol;18(1):41, 2018 Feb 13.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this cross-sectional study is to ascertain the prevalence and causes of blindness, visual impairment, uptake of cataract surgery among different ethnic groups in Xinjiang Uygur Autonomous Region, China. METHODS: Four thousand one hundred fifty people at 50 years and above from different minority ethnic groups were randomly selected for an eye examination. The four trained eye teams collected data using tumbling E visual chart, torch, portable slit lamp and direct ophthalmoscope in 2015. The World Health Organization's definition of blindness and visual impairment (VI) was used to classify patients in each ethnic group. Data were analyzed by different minority groups and were compared with Han Chinese. RESULTS: 3977 (95.8%) out of 4150 people were examined. The prevalence of blindness from the study population was 1.7% (95% confidence interval: 1.3-2.2%).There was no significant difference in prevalence of blindness between Han Chinese and people of Khazak and other minority ethnic groups, nor, between male and female. Cataract was the leading course (65.5%) of blindness and uncorrected refractive error was the most common cause of VI (36.3%) followed by myopic retinopathy. The most common barrier to cataract surgery was lack of awareness of service availability. CONCLUSIONS: This study documented a low blindness prevalence among people aged 50 years and over comparing to prevalence identified through studies of other regions in China. It still indicates blindness and un-operated cataract as the significant public health issue, with no evidence of eye health inequalities, but some inequities in accessing to cataract surgery amongst ethnic minority groups in Xinjiang.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Asiático/etnologia
Cegueira/etnologia
Grupos Minoritários/estatística & dados numéricos
Baixa Visão/etnologia
Pessoas com Deficiência Visual/estatística & dados numéricos
[Mh] Termos MeSH secundário: Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Catarata/etnologia
China/epidemiologia
Estudos Transversais
Grupos Étnicos
Feminino
Acesso aos Serviços de Saúde/estatística & dados numéricos
Seres Humanos
Masculino
Meia-Idade
Exame Físico
Prevalência
Erros de Refração/etnologia
Doenças Retinianas/etnologia
Distribuição por Sexo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180218
[Lr] Data última revisão:
180218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180214
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0705-6


  9 / 32023 MEDLINE  
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[PMID]:29437065
[Au] Autor:Yoo JU; McIver TC; Hiratzka J; Carlson H; Carlson N; Radoslovich SS; Gernhart T; Boshears E; Kane MS
[Ad] Endereço:Oregon Health & Science University, 3181 South West Sam Jackson Park Road, Portland, Oregon 97239, USA.
[Ti] Título:The presence of Waddell signs depends on age and gender, not diagnosis.
[So] Source:Bone Joint J;100-B(2):219-225, 2018 Feb.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: The aim of this study was to determine if positive Waddell signs were related to patients' demographics or to perception of their quality of life. PATIENTS AND METHODS: This prospective cross-sectional study included 479 adult patients with back pain from a university spine centre. Each completed SF-12 and Oswestry Disability Index (ODI) questionnaires and underwent standard spinal examinations to elicit Waddell signs. The relationship between Waddell signs and age, gender, ODI, Mental Component Score (MCS), and Physical Component Score (PCS) scores was determined. RESULTS: Of the 479 patients, 128 (27%) had at least one positive Waddell sign. There were significantly more women with two or more Waddell signs than men. The proportion of patients with at least one positive Waddell sign increased with age until 55 years, and then declined rapidly; none had a positive sign over the age of 75 years. Functional outcome scores were significantly worse in those with a single Waddell sign (p < 0.01). With one or more Waddell signs, patients' PCS and ODI scores indicated a perception of severe disability; with three or more Waddell signs, patients' MCS scores indicated severe disability. With five Waddell signs, ODI scores indicated that patients perceived themselves as crippled. CONCLUSION: Positive Waddell signs, a potential indicator of central sensitization, indicated a likelihood of having functional limitations and an impaired quality of life, particularly in young women. Cite this article: 2018;100-B:219-25.
[Mh] Termos MeSH primário: Avaliação da Deficiência
Dor Lombar/fisiopatologia
Dor Lombar/psicologia
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Exame Físico
Valor Preditivo dos Testes
Estudos Prospectivos
Testes Psicológicos
Psicometria
Qualidade de Vida
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:180214
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.100B2.BJJ-2017-0684.R2


  10 / 32023 MEDLINE  
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[PMID]:28450773
[Au] Autor:Gupta Y; Mahara D; Lamichhane A
[Ad] Endereço:Nobel Medical College and Teaching Hospital, Kanchanbari, Biratnagar.
[Ti] Título:McMurray's Test and Joint Line Tenderness for Medial Meniscus Tear: Are They Accurate?
[So] Source:Ethiop J Health Sci;26(6):567-572, 2016 Nov.
[Is] ISSN:2413-7170
[Cp] País de publicação:Ethiopia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Meniscus tears are the most common injury of the knee. The McMurray's test and Joint line tenderness for diagnosing meniscus tear have been widely tested, but results reported by different authors vary. The wide variations reported have an impact on clinical decision concerning whether to go for other diagnostic tests before going for diagnostic arthroscopy, which is considered as the gold standard.The purpose of this study was to determine the diagnostic value of Joint line tenderness and McMurray's test, as clinical signs, to diagnose underlying medial meniscus tears. METHODS: This was a prospective observational study done in Tribhuwan University Teaching Hospital. Patients undergoing knee arthroscopy were included in the study period of one year (from February 2011 to January 2012). Each patient was clinically examined with McMurray's test and joint line tenderness. The findings were then matched by the arthroscopic findings. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy were then calculated. RESULTS: The sensitivity, specificity, positive predictive value , negative predictive value and accuracy for medial joint line tenderness in diagnosing medial meniscus tear were 50%, 61.7%, 51.8%, 60% and 56.45% respectively. The result was insignificant (p value=0.352). The sensitivity, specificity, positive predictive value, negative predictive value and accuracy for McMurray's test for diagnosing medial meniscus tear were 54%, 79%, 68% , 67.50% and 67.74% respectively. The result was significant (p value=0.007). CONCLUSION: Clinical tests like McMurray and joint line tenderness have low diagnostic value when applied individually. They may be useful when combined together with the background of clinical history. The decision to scope the knee should not be solely taken on the results of clinical tests.
[Mh] Termos MeSH primário: Lesões do Menisco Tibial/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Artroscopia
Criança
Feminino
Seres Humanos
Masculino
Meia-Idade
Exame Físico
Valor Preditivo dos Testes
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE



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