Base de dados : MEDLINE
Pesquisa : E02.760.703 [Categoria DeCS]
Referências encontradas : 3682 [refinar]
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[PMID]:29236371
[Au] Autor:Gervais C; de Montigny F; Garneau J
[Ad] Endereço:Centre d'études et de recherche en intervention familiale (CÉRIF), Université du Québec en Outaouais, Québec, Canada.
[Ti] Título:Périnatalité et petite enfance. Des services aux pères..
[So] Source:Perspect Infirm;14(2):52-54, 2017 Mar-Apr.
[Is] ISSN:1708-1890
[Cp] País de publicação:Canada
[La] Idioma:fre
[Mh] Termos MeSH primário: Pai
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Recém-Nascido
Masculino
Assistência Perinatal
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:29223211
[Au] Autor:Phillips C; Boyd MP
[Ti] Título:Perinatal and Neonatal Implications of Sickle Cell Disease.
[So] Source:Nurs Womens Health;21(6):474-487, 2017 Dec.
[Is] ISSN:1751-486X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Sickle cell disease is the genetic disorder most commonly detected with state-mandated newborn screening. Women with sickle cell disease struggle with psychosocial, emotional, and physical challenges throughout their lives. Pregnancy for women with sickle cell disease brings greater risk for maternal and fetal morbidity and mortality and increased likelihood of hospitalization for complications, including sickle cell pain crisis. Chronic maternal opioid use for pain can place newborns at risk for neonatal abstinence syndrome. Care of a pregnant woman with sickle cell disease requires a collaborative, multidisciplinary team addressing the medical, social, and emotional needs of the woman and her family.
[Mh] Termos MeSH primário: Anemia Falciforme/etiologia
Anemia Falciforme/fisiopatologia
Gerenciamento Clínico
Educação Continuada em Enfermagem
[Mh] Termos MeSH secundário: Adulto
Anemia Falciforme/genética
Feminino
Aconselhamento Genético
Seres Humanos
Saúde do Lactente/normas
Recém-Nascido
Manejo da Dor
Assistência Perinatal/métodos
Assistência Perinatal/normas
Gravidez
Complicações Hematológicas na Gravidez/prevenção & controle
Complicações Hematológicas na Gravidez/terapia
[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:171211
[St] Status:MEDLINE


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[PMID]:29223209
[Au] Autor:Potter MT
[Ti] Título:Nurse-Led Initiatives to Implement Universal Screening for Perinatal Emotional Complications.
[So] Source:Nurs Womens Health;21(6):452-461, 2017 Dec.
[Is] ISSN:1751-486X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Perinatal emotional complications are the most common pregnancy complications in the United States. This article reviews three recent studies that illustrate the prevalence of and risk factors for perinatal emotional complications and sheds light on the inconsistency of screening by health care providers in acute care and outpatient settings. Also presented is an example of nurse-led quality improvement initiatives aimed at implementing universal screening in a rural New England county, which resulted in 100% screening with the Edinburgh Postnatal Depression Scale across health care facilities within the community, as well as a system-wide change in the approach to identifying and treating perinatal emotional complications.
[Mh] Termos MeSH primário: Programas de Rastreamento/instrumentação
Assistência Perinatal/métodos
Psicometria/instrumentação
Estresse Psicológico/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Depressão/diagnóstico
Feminino
Seres Humanos
Programas de Rastreamento/legislação & jurisprudência
Programas de Rastreamento/métodos
Gravidez
Complicações na Gravidez/prevenção & controle
Prevalência
Psicometria/métodos
Reprodutibilidade dos Testes
Fatores de Risco
Estados Unidos
[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:171211
[St] Status:MEDLINE


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Laurenti, Ruy
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:29211204
[Au] Autor:Kale PL; Jorge MHPM; Laurenti R; Fonseca SC; Silva KSD
[Ad] Endereço:Universidade Federal do Rio de Janeiro. Instituto de Estudos em Saúde Coletiva. Área de Epidemiologia e Bioestatística. Rio de Janeiro, RJ, Brasil.
[Ti] Título:Pragmatic criteria of the definition of neonatal near miss: a comparative study.
[So] Source:Rev Saude Publica;51:111, 2017 Dec 04.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:OBJECTIVE: The objective of this study was to test the validity of the pragmatic criteria of the definitions of neonatal near miss, extending them throughout the infant period, and to estimate the indicators of perinatal care in public maternity hospitals. METHODS: A cohort of live births from six maternity hospitals in the municipalities of São Paulo, Niterói, and Rio de Janeiro, Brazil, was carried out in 2011. We carried out interviews and checked prenatal cards and medical records. We compared the pragmatic criteria (birth weight, gestational age, and 5' Apgar score) of the definitions of near miss of Pileggi et al., Pileggi-Castro et al., Souza et al., and Silva et al. We calculated sensitivity, specificity (gold standard: infant mortality), percentage of deaths among newborns with life-threatening conditions, and rates of near miss, mortality, and severe outcomes per 1,000 live births. RESULTS: A total 7,315 newborns were analyzed (completeness of information > 99%). The sensitivity of the definition of Pileggi-Castro et al. was higher, resulting in a higher number of cases of near miss, Souza et al. presented lower value, and Pileggi et al. and de Silva et al. presented intermediate values. There is an increase in sensitivity when the period goes from 0-6 to 0-27 days, and there is a decrease when it goes to 0-364 days. Specificities were high (≥ 97%) and above sensitivities (54% to 77%). One maternity hospital in São Paulo and one in Niterói presented, respectively, the lowest and highest rates of infant mortality, near miss, and frequency of births with life-threatening conditions, regardless of the definition. CONCLUSIONS: The definitions of near miss based exclusively on pragmatic criteria are valid and can be used for monitoring purposes. Based on the perinatal literature, the cutoff points adopted by Silva et al. were more appropriate. Periodic studies could apply a more complete definition, incorporating clinical, laboratory, and management criteria, including congenital anomalies predictive of infant mortality.
[Mh] Termos MeSH primário: Mortalidade Infantil
Nascimento Vivo
Near Miss/estatística & dados numéricos
Assistência Perinatal/estatística & dados numéricos
Morte Perinatal
[Mh] Termos MeSH secundário: Índice de Apgar
Peso ao Nascer
Brasil
Estudos Transversais
Maternidades/estatística & dados numéricos
Seres Humanos
Lactente
Recém-Nascido
Entrevistas como Assunto
Assistência Perinatal/normas
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


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Texto completo SciELO Chile
[PMID]:29189859
[Au] Autor:Valenzuela MT; San-Martín P P; Cavada G
[Ad] Endereço:Departamento de Salud Pública y Epidemiología, Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
[Ti] Título:[Is abortion a serious public health problem in Chile in the field of maternal-perinatal health?]
[Ti] Título:Aborto, ¿es un problema de salud pública en Chile en el campo de la salud materno-perinatal?.
[So] Source:Rev Med Chil;145(8):1013-1020, 2017 Aug.
[Is] ISSN:0717-6163
[Cp] País de publicação:Chile
[La] Idioma:spa
[Ab] Resumo:BACKGROUND: The World Health Organization, by 2014, estimates that approximately 22 million unsafe abortions take place every year in the world, almost all of them in developing countries. The Millennium Goals, as part of the fifth compendium, focused on maternal health by proposing that member states should reduce maternal mortality to 75% by 2015. AIM: To determine, using maternal health indicators, if abortion in Chile is a priority health problem. MATERIAL AND METHODS: Data about maternal mortality and its causes between 1982 and 2014, was obtained from the databases available at the Chilean Ministry of Health. Trend analyzes were carried out using linear autoregressive models. RESULTS: Between 1982 and 2012, maternal mortality rates decreased from 51.8 to 18.3 per 100,000 live births. Complications of pregnancy, childbirth and puerperium were the first three causes and the last one is abortion. The proportion of abortions due to unspecified causes, including induced abortion, decreased from 36.6% to 26.1% between 2001 and 2012. CONCLUSIONS: Abortion is not a public health problem in Chile. To continue reducing maternal mortality, programs for the early detection of risks such as diabetes, obesity and hypertension should be implemented.
[Mh] Termos MeSH primário: Aborto Induzido/mortalidade
Aborto Induzido/tendências
Mortalidade Materna/tendências
Complicações na Gravidez/mortalidade
Saúde Pública
[Mh] Termos MeSH secundário: Causas de Morte
Chile/epidemiologia
Feminino
Seres Humanos
Lactente
Mortalidade Infantil/tendências
Modelos Lineares
Nascimento Vivo/epidemiologia
Assistência Perinatal
Distribuição de Poisson
Gravidez
Fatores de Risco
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


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[PMID]:27776335
[Au] Autor:Hamdan R; Nassar P; Zein A; Issa M; Mansour H; Saab M
[Ad] Endereço:Cardiology Department, Beirut Cardiac Institute, Beirut, Lebanon. Electronic address: mdrighabh@hotmail.com.
[Ti] Título:Peripartum cardiomyopathy, place of drug therapy, assist devices, and outcome after left ventricular assistance.
[So] Source:J Crit Care;37:185-188, 2017 02.
[Is] ISSN:1557-8615
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Peripartum cardiomyopathy remains a challenging obstetric and cardiologic emergency. We report 5 interesting cases of peripartum cardiomyopathy with different clinical courses, with 3 patients requiring left ventricular assist device implantation. One patient underwent pump explantation and aortic balloon valvuloplasty postsurgery. Two patients improved with the medical treatment alone without the need of assistance. We will review main important related issues.
[Mh] Termos MeSH primário: Cardiomiopatia Dilatada/diagnóstico
Coração Auxiliar
Transtornos Puerperais/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Bromocriptina/administração & dosagem
Bromocriptina/uso terapêutico
Cardiomiopatia Dilatada/tratamento farmacológico
Cardiomiopatia Dilatada/cirurgia
Remoção de Dispositivo
Diagnóstico Diferencial
Agonistas de Dopamina/administração & dosagem
Agonistas de Dopamina/uso terapêutico
Feminino
Seres Humanos
Assistência Perinatal
Período Periparto
Gravidez
Transtornos Puerperais/tratamento farmacológico
Transtornos Puerperais/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dopamine Agonists); 3A64E3G5ZO (Bromocriptine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171208
[Lr] Data última revisão:
171208
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29189694
[Au] Autor:Committee on Obstetric Practice and the American Academy of Pediatrics' Council on Environmental Health
[Ti] Título:Committee Opinion No. 726: Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care.
[So] Source:Obstet Gynecol;130(6):e291-e297, 2017 12.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Large-scale catastrophic events and infectious disease outbreaks highlight the need for disaster planning at all community levels. Features unique to the obstetric population (including antepartum, intrapartum, postpartum and neonatal care) warrant special consideration in the event of a disaster. Pregnancy increases the risks of untoward outcomes from various infectious diseases. Trauma during pregnancy presents anatomic and physiologic considerations that often can require increased use of resources such as higher rates of cesarean delivery. Recent evidence suggests that floods and human-influenced environmental disasters increase the risks of spontaneous miscarriages, preterm births, and low-birth-weight infants among pregnant women. The potential surge in maternal and neonatal patient volume due to mass-casualty events, transfer of high-acuity patients, or redirection of patients because of geographic barriers presents unique challenges for obstetric care facilities. These circumstances require that facilities plan for additional increases in necessary resources and staffing. Although emergencies may be unexpected, hospitals and obstetric delivery units can prepare to implement plans that will best serve maternal and pediatric care needs when disasters occur. Clear designation of levels of maternal and neonatal care facilities, along with establishment of a regional network incorporating hospitals that provide maternity services and those that do not, will enable rapid transport of obstetric patients to the appropriate facilities, ensuring the right care at the right time. Using common terminology for triage and transfer and advanced knowledge of regionalization and levels of care will facilitate disaster preparedness.
[Mh] Termos MeSH primário: Planejamento em Desastres
Surtos de Doenças/prevenção & controle
Maternidades/organização & administração
Incidentes com Feridos em Massa/prevenção & controle
Obstetrícia/métodos
Assistência Perinatal/organização & administração
[Mh] Termos MeSH secundário: Parto Obstétrico/métodos
Planejamento em Desastres/métodos
Planejamento em Desastres/organização & administração
Feminino
Seres Humanos
Recém-Nascido
Masculino
Gravidez
Transporte de Pacientes/organização & administração
Triagem/organização & administração
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171206
[Lr] Data última revisão:
171206
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002413


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[PMID]:29073951
[Au] Autor:Lipshultz SE; Wilkinson JD; Thompson B; Cheng I; Briston DA; Shearer WT; Orav EJ; Westphal JA; Miller TL; Colan SD; CHAART-2 Investigator Group
[Ad] Endereço:Wayne State University School of Medicine, Detroit, Michigan; Children's Hospital of Michigan, Detroit, Michigan. Electronic address: slipshultz@med.wayne.edu.
[Ti] Título:Cardiac Effects of Highly Active Antiretroviral Therapy in Perinatally HIV-Infected Children: The CHAART-2 Study.
[So] Source:J Am Coll Cardiol;70(18):2240-2247, 2017 Oct 31.
[Is] ISSN:1558-3597
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Before the introduction of highly active antiretroviral therapy (HAART), cardiac mortality and morbidity were common in HIV-infected children. OBJECTIVES: This study sought to identify long-term cardiovascular effects of HAART in HIV-infected children. METHODS: The CHAART-2 (HAART-Associated Cardiotoxicity in HIV-Infected Children) study prospectively compared 148 echocardiograms from 74 HAART-exposed children to 860 echocardiograms from 140 HAART-unexposed but HIV-infected children from the Pulmonary and Cardiac Complications of Vertically Transmitted HIV Infection (P C HIV) study. Both studies used similar protocol, centralized echocardiographic interpretation, and measures expressed as z-scores referenced to healthy controls. Associations between HAART exposure and echocardiographic measures were evaluated using generalized estimating equations. RESULTS: Comparing the HAART-exposed and HAART-unexposed groups, any HAART exposure was positively associated with left ventricular (LV) fractional shortening (z-score for difference = 1.07; p = 0.02) and HAART exposure duration (z-score difference per year = 0.17; p = 0.003. LV mass was negatively associated with any HAART exposure (z-score difference = -0.64; p = 0.01) as was septal thickness (z-score difference = -0.93; p = 0.001). Duration of HAART exposure was negatively associated with LV end-systolic dimension and heart rate (z-score difference per year= -0.11; p = 0.05; and z-score difference per year = -0.10; p = 0.002, respectively). During 11 years of follow-up, in the HAART-exposed group, LV mass and LV end-diastolic septal thickness were lower whereas LV contractility and LV fractional shortening were higher when compared to the HAART-unexposed group. CONCLUSIONS: Cardiac structure and function were better in perinatally HIV-infected children exposed to HAART than in those of similar children from the pre-HAART era but did decline over time. Evidence-based strategies for cardiovascular monitoring are needed to inform treatment decisions to improve long-term cardiovascular health.
[Mh] Termos MeSH primário: Terapia Antirretroviral de Alta Atividade/tendências
Cardiotoxinas/administração & dosagem
Infecções por HIV/diagnóstico por imagem
Infecções por HIV/tratamento farmacológico
Assistência Perinatal/tendências
[Mh] Termos MeSH secundário: Adolescente
Adulto
Terapia Antirretroviral de Alta Atividade/efeitos adversos
Cardiotoxinas/efeitos adversos
Criança
Pré-Escolar
Estudos de Coortes
Estudos Transversais
Feminino
Seguimentos
Seres Humanos
Hipertrofia Ventricular Esquerda/induzido quimicamente
Hipertrofia Ventricular Esquerda/diagnóstico por imagem
Hipertrofia Ventricular Esquerda/prevenção & controle
Estudos Longitudinais
Masculino
Assistência Perinatal/métodos
Gravidez
Estudos Prospectivos
Método Simples-Cego
Disfunção Ventricular Esquerda/induzido quimicamente
Disfunção Ventricular Esquerda/diagnóstico por imagem
Disfunção Ventricular Esquerda/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Nm] Nome de substância:
0 (Cardiotoxins)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171028
[St] Status:MEDLINE


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[PMID]:28954615
[Au] Autor:Pham CT; Karnon JD; Middleton PF; Bloomfield FH; Groom KM; Crowther CA; Mol BW
[Ad] Endereço:University of Adelaide, Adelaide, SA clarabelle.pham@adelaide.edu.au.
[Ti] Título:Randomised clinical trials in perinatal health care: a cost-effective investment.
[So] Source:Med J Aust;207(7):289-293, 2017 Sep 02.
[Is] ISSN:1326-5377
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To compare the health and economic impacts of implementing efficacious treatment interventions with maintaining standard practice in maternal and perinatal health care. DESIGN AND SETTING: We identified randomised clinical trials (RCTs) in the Perinatal Society of Australia and New Zealand trials database that commenced recruitment during 2008 and had completed recruitment by 2015. Data from clinical trial registries and publications were collated to calculate the potential cost savings achievable by implementing efficacious treatment interventions. MAIN OUTCOME MEASURE: Projected net cost savings over 5 years. RESULTS: Twenty-three eligible RCTs covering a range of behavioural and clinical interventions were identified, of which six reported interventions superior to standard practice (four trials) or placebo (two). The outcomes (but not the costs) of 17 trials were excluded from analysis (no difference between intervention and comparator groups in seven trials, recruitment problems in six, findings not yet published in four). The total funding amount for the 23 trials was $20.3 million; the potential cost savings over 5 years if the findings of the six trials reporting superior interventions were implemented was estimated to be $26.3 million if 10% of the eligible populations received the effective interventions, and $262.8 million with 100% implementation. CONCLUSIONS: Our retrospective analysis highlights the value of research in perinatal care and the importance of implementing positive findings for realising its value. Future trials in maternal and perinatal health care may provide significant returns on investment by informing clinical practice, improving patient outcomes and reducing health care costs.
[Mh] Termos MeSH primário: Análise Custo-Benefício
Custos de Cuidados de Saúde
Assistência Perinatal/economia
Cuidado Pré-Natal/economia
Ensaios Clínicos Controlados Aleatórios como Assunto/economia
[Mh] Termos MeSH secundário: Austrália
Feminino
Seres Humanos
Nova Zelândia
Gravidez
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170929
[St] Status:MEDLINE


  10 / 3682 MEDLINE  
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[PMID]:28937570
[Ti] Título:Committee Opinion No. 723 Summary: Guidelines for Diagnostic Imaging During Pregnancy and Lactation.
[So] Source:Obstet Gynecol;130(4):933-934, 2017 Oct.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Imaging studies are important adjuncts in the diagnostic evaluation of acute and chronic conditions. However, confusion about the safety of these modalities for pregnant and lactating women and their infants often results in unnecessary avoidance of useful diagnostic tests or the unnecessary interruption of breastfeeding. Ultrasonography and magnetic resonance imaging are not associated with risk and are the imaging techniques of choice for the pregnant patient, but they should be used prudently and only when use is expected to answer a relevant clinical question or otherwise provide medical benefit to the patient. With few exceptions, radiation exposure through radiography, computed tomography scan, or nuclear medicine imaging techniques is at a dose much lower than the exposure associated with fetal harm. If these techniques are necessary in addition to ultrasonography or magnetic resonance imaging or are more readily available for the diagnosis in question, they should not be withheld from a pregnant patient. Breastfeeding should not be interrupted after gadolinium administration.
[Mh] Termos MeSH primário: Obstetrícia/normas
Assistência Perinatal/normas
Complicações na Gravidez/diagnóstico por imagem
Transtornos Puerperais/diagnóstico por imagem
[Mh] Termos MeSH secundário: Diagnóstico por Imagem/normas
Feminino
Seres Humanos
Lactação
Gravidez
Sociedades Médicas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170923
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002350



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