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[PMID]:28640104
[Au] Autor:Robak O; Vaida S; Gaitini L; Thierbach A; Urtubia R; Krafft P; Frass M
[Ad] Endereço:aDepartment of Medicine I, Medical University of Vienna, Vienna, Austria bDepartment of Anaesthesiology, Penn State Milton S. Hershey Medical Centre, Hershey, PA cDepartment of Anaesthesiology, Bnai Zion Medical Centre, Haifa, Israel dDepartment of Anaesthesia, Intensive Care Medicine, Emergency Medicine and Pain Therapy, University of Mainz and Klinikum Idar-Oberstein, Idar-Oberstein, Germany eDepartment of Anaesthesiology Clinica Vespucio, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile fDepartment of Anaesthesiology and General Intensive Care, Medical University of Vienna and Rudolfstiftung, Vienna, Austria.
[Ti] Título:The EasyTube during general anesthesia for minor surgery: A randomized, controlled trial.
[So] Source:Medicine (Baltimore);96(25):e7195, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The EasyTube (EzT) is a supraglottic airway device that is used for emergency airway situations. Ventilation during general anesthesia should also be feasible, but literature on the EzT is scarce. We evaluated the EzT in comparison with the endotracheal tube (ETT) in its use during general anesthesia in a comparative study. METHODS: A total of 400 patients with American Society of Anesthesiologists (ASA) physical status I to II scheduled for minor surgery in 4 centers were randomized for ventilation via the ETT or EzT. RESULTS: In all patients, the EzT and the ETT could be inserted within 3 attempts. In all EzT patients, the inspiratory and expiratory minute volumes (6.64 ±â€Š0.71 and 6.34 ±â€Š0.69 L/min) were sufficient to reach target oxygenation values, similar to ETT patients (P  =  .59). Mean peak pressure, mean plateau pressure, and mean dynamic compliance did not differ between the groups. Sore throat and blood on the cuff after removal were the most frequent complications in both groups. CONCLUSION: Ventilation for up to 1 hour during general anesthesia in patients with ASA physical status I to II with the EzT is feasible and safe.
[Mh] Termos MeSH primário: Anestesia Geral
Intubação Intratraqueal/instrumentação
Procedimentos Cirúrgicos Menores
Respiração Artificial/instrumentação
[Mh] Termos MeSH secundário: Anestesia Geral/economia
Anestesia Geral/instrumentação
Pressão Sanguínea
Análise Custo-Benefício
Estudos de Viabilidade
Feminino
Frequência Cardíaca
Seres Humanos
Intubação Intratraqueal/efeitos adversos
Intubação Intratraqueal/economia
Masculino
Meia-Idade
Procedimentos Cirúrgicos Menores/economia
Procedimentos Cirúrgicos Menores/instrumentação
Oxigênio/sangue
Respiração
Respiração Artificial/efeitos adversos
Respiração Artificial/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007195


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[PMID]:28403427
[Au] Autor:Brummett CM; Waljee JF; Goesling J; Moser S; Lin P; Englesbe MJ; Bohnert ASB; Kheterpal S; Nallamothu BK
[Ad] Endereço:Division of Pain Medicine, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor2Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor.
[Ti] Título:New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults.
[So] Source:JAMA Surg;152(6):e170504, 2017 Jun 21.
[Is] ISSN:2168-6262
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Despite increased focus on reducing opioid prescribing for long-term pain, little is known regarding the incidence and risk factors for persistent opioid use after surgery. Objective: To determine the incidence of new persistent opioid use after minor and major surgical procedures. Design, Setting, and Participants: Using a nationwide insurance claims data set from 2013 to 2014, we identified US adults aged 18 to 64 years without opioid use in the year prior to surgery (ie, no opioid prescription fulfillments from 12 months to 1 month prior to the procedure). For patients filling a perioperative opioid prescription, we calculated the incidence of persistent opioid use for more than 90 days among opioid-naive patients after both minor surgical procedures (ie, varicose vein removal, laparoscopic cholecystectomy, laparoscopic appendectomy, hemorrhoidectomy, thyroidectomy, transurethral prostate surgery, parathyroidectomy, and carpal tunnel) and major surgical procedures (ie, ventral incisional hernia repair, colectomy, reflux surgery, bariatric surgery, and hysterectomy). We then assessed data for patient-level predictors of persistent opioid use. Main Outcomes and Measures: The primary outcome was defined a priori prior to data extraction. The primary outcome was new persistent opioid use, which was defined as an opioid prescription fulfillment between 90 and 180 days after the surgical procedure. Results: A total of 36 177 patients met the inclusion criteria, with 29 068 (80.3%) receiving minor surgical procedures and 7109 (19.7%) receiving major procedures. The cohort had a mean (SD) age of 44.6 (11.9) years and was predominately female (23 913 [66.1%]) and white (26 091 [72.1%]). The rates of new persistent opioid use were similar between the 2 groups, ranging from 5.9% to 6.5%. By comparison, the incidence in the nonoperative control cohort was only 0.4%. Risk factors independently associated with new persistent opioid use included preoperative tobacco use (adjusted odds ratio [aOR], 1.35; 95% CI, 1.21-1.49), alcohol and substance abuse disorders (aOR, 1.34; 95% CI, 1.05-1.72), mood disorders (aOR, 1.15; 95% CI, 1.01-1.30), anxiety (aOR, 1.25; 95% CI, 1.10-1.42), and preoperative pain disorders (back pain: aOR, 1.57; 95% CI, 1.42-1.75; neck pain: aOR, 1.22; 95% CI, 1.07-1.39; arthritis: aOR, 1.56; 95% CI, 1.40-1.73; and centralized pain: aOR, 1.39; 95% CI, 1.26-1.54). Conclusions and Relevance: New persistent opioid use after surgery is common and is not significantly different between minor and major surgical procedures but rather associated with behavioral and pain disorders. This suggests its use is not due to surgical pain but addressable patient-level predictors. New persistent opioid use represents a common but previously underappreciated surgical complication that warrants increased awareness.
[Mh] Termos MeSH primário: Analgésicos Opioides/administração & dosagem
Procedimentos Cirúrgicos Menores
Dor Pós-Operatória/tratamento farmacológico
Uso Indevido de Medicamentos sob Prescrição/estatística & dados numéricos
Procedimentos Cirúrgicos Operatórios
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Incidência
Assistência de Longa Duração
Masculino
Meia-Idade
Fatores de Risco
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics, Opioid)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1001/jamasurg.2017.0504


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[PMID]:27885426
[Au] Autor:Fuzier R; Puel F; Izard P; Sommet A; Pierre S
[Ad] Endereço:Department of Anesthesiology, Institut Claudius Regaud. University Institute of Cancer Toulouse Oncopole, 1 Avenue Irène Joliot-Curie, 31059, Toulouse Cedex, France. fuzier.r@gmail.com.
[Ti] Título:Prospective cohort study assessing chronic pain in patients following minor surgery for breast cancer.
[So] Source:J Anesth;31(2):246-254, 2017 Apr.
[Is] ISSN:1438-8359
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Pain after tumorectomy and sentinel lymph node dissection is poorly reported in the literature. We carried out a prospective survey aimed at assessing pain three months after such minor surgery for breast cancer. METHODS: The study was approved by the local ethics committee. Most surgeries followed a standard protocol involving general anesthesia with no regional analgesia technique, laryngeal mask, sufentanil and propofol for induction, and multimodal analgesia during the postoperative period. Three months after the surgery, a questionnaire was sent to the patients with a pre-stamped envelope for return. The questions probed responses required to calculate a Brief Pain Inventory score and modified neuropathic pain score (DN3). RESULTS: Over a 5-month period, 150 patients (aged 60 (11) years, body mass index of 25 (6) kg/m ) were included in the final analysis. In the recovery room, 43% of patients required morphine at a mean dose of 5.2 (1.8) mg. Three months post surgery, 60 patients (40%) reported persistent pain for which 62% took analgesic drugs. We found no risk factor associated with this persistent pain among our studied population. Neuropathic pain was noted in 61% of patients who reported persistent pain primarily associated with periareolar incision. CONCLUSIONS: Pain persisted up to three months after minor surgery for breast cancer in 40% of patients with mostly a neuropathic component (61%).
[Mh] Termos MeSH primário: Neoplasias da Mama/cirurgia
Dor Crônica/epidemiologia
Neuralgia/epidemiologia
Dor Pós-Operatória/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Analgesia/métodos
Anestesia Geral/métodos
Feminino
Seres Humanos
Excisão de Linfonodo
Meia-Idade
Procedimentos Cirúrgicos Menores
Morfina/administração & dosagem
Propofol/administração & dosagem
Estudos Prospectivos
Sufentanil/administração & dosagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
76I7G6D29C (Morphine); AFE2YW0IIZ (Sufentanil); YI7VU623SF (Propofol)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161126
[St] Status:MEDLINE
[do] DOI:10.1007/s00540-016-2288-9


  4 / 1011 MEDLINE  
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Texto completo SciELO Chile
[PMID]:27905650
[Au] Autor:Concha-Rogazy M; Andrighetti-Ferrada C; Curi-Tuma M
[Ti] Título:[Aseptic techniques for minor surgical procedures].
[Ti] Título:Actualización en técnica aséptica y uso de antibióticos profilácticos en procedimientos quirúrgicos ambulatorios que comprometan piel y mucosas: An update..
[So] Source:Rev Med Chil;144(8):1038-1043, 2016 Aug.
[Is] ISSN:0717-6163
[Cp] País de publicação:Chile
[La] Idioma:spa
[Ab] Resumo:Aseptic techniques are those practices designed to reduce the risk of surgical site infection (SSI), defined as such, all those that occur within the first 30 days of the procedure. While the patient’s risk of developing an SSI in dermatologic surgery is low since many of the procedures are considered sterile, there are different factors associated with an increased or decreased risk of developing SSI. The characteristics of the surgical wound (such as involving infected or inflamed tissue or when breaks in the aseptic technique occur), patient characteristics (such as age, comorbidities, medication use and smoking) and procedure factors (such as setting, surgical technique, type of procedure, duration and body region involved). In this article we discuss the management of potential sources of infections such as personnel (hand washing, dressing), preparation of the patient, maintenance of a clean surgical environment, sterilization and the use of antiseptic solutions. Similarly, the current indications for prophylactic antibiotics for these procedures are considered.
[Mh] Termos MeSH primário: Antibacterianos/uso terapêutico
Assepsia/métodos
Procedimentos Cirúrgicos Dermatológicos
Procedimentos Cirúrgicos Menores
Infecção da Ferida Cirúrgica/prevenção & controle
[Mh] Termos MeSH secundário: Antissepsia/métodos
Desinfecção das Mãos/métodos
Seres Humanos
Fatores de Risco
Sepse/prevenção & controle
Infecção da Ferida Cirúrgica/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170526
[Lr] Data última revisão:
170526
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161202
[St] Status:MEDLINE


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[PMID]:27620126
[Au] Autor:Halabi-Tawil M; Kechichian E; Tomb R
[Ad] Endereço:Department of Dermatology, Hotel Dieu de France University Hospital, 00961 Beirut, Lebanon.
[Ti] Título:An unusual complication of minor surgery: contact dermatitis caused by injected lidocaine.
[So] Source:Contact Dermatitis;75(4):253-5, 2016 Oct.
[Is] ISSN:1600-0536
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Anestésicos Locais/efeitos adversos
Dermatite Alérgica de Contato/etiologia
Procedimentos Cirúrgicos Dermatológicos
Dermatoses da Perna/etiologia
Lidocaína/efeitos adversos
Complicações Pós-Operatórias/induzido quimicamente
[Mh] Termos MeSH secundário: Idoso
Carcinoma in Situ/cirurgia
Carcinoma de Células Escamosas/cirurgia
Dermatite Alérgica de Contato/diagnóstico
Feminino
Seres Humanos
Injeções Subcutâneas
Dermatoses da Perna/diagnóstico
Procedimentos Cirúrgicos Menores
Testes do Emplastro
Complicações Pós-Operatórias/diagnóstico
Neoplasias Cutâneas/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anesthetics, Local); 98PI200987 (Lidocaine)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160914
[St] Status:MEDLINE
[do] DOI:10.1111/cod.12620


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[PMID]:27302324
[Au] Autor:Curto A
[Ad] Endereço:Department of Surgery, Faculty of Medicine, University of Salamanca, Alfonso X El Sabio, s/n, 37007, Salamanca, Spain. Electronic address: adrian_odonto@usal.es.
[Ti] Título:Management of novel oral anticoagulants (NOAs) in minor surgery.
[So] Source:J Plast Reconstr Aesthet Surg;69(8):e161, 2016 08.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Anticoagulantes/administração & dosagem
Procedimentos Cirúrgicos Menores
[Mh] Termos MeSH secundário: Administração Oral
Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Nm] Nome de substância:
0 (Anticoagulants)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160616
[St] Status:MEDLINE


  7 / 1011 MEDLINE  
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[PMID]:27254242
[Ti] Título:Vibration for Pain Reduction in a Plastic Surgery Clinic.
[So] Source:Plast Surg Nurs;36(2):E1, 2016 Apr-Jun.
[Is] ISSN:1550-1841
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Manejo da Dor/métodos
Cirurgia Plástica/métodos
Vibração/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Procedimentos Cirúrgicos Menores/métodos
Dor
Estudos Prospectivos
Cirurgia Plástica/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160603
[St] Status:MEDLINE
[do] DOI:10.1097/PSN.0000000000000141


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[PMID]:27254235
[Au] Autor:Eichhorn MG; Karadsheh MJ; Krebiehl JR; Ford DM; Ford RD
[Ad] Endereço:Mitchell George Eichhorn, MD, is at Grand Rapids Medical Education Partners/Michigan State University College of Human Medicine, Grand Rapids. Murad Jehad Karadsheh, MD, is at Michigan State University College of Human Medicine, Grand Rapids. Johanna Ruth Krebiehl, MD, is at Grand Rapids Medical Education Partners/Michigan State University College of Human Medicine, Grand Rapids. Dawn Marie Ford, BSN, RN, CANS, is at Elite Plastic Surgery, Grand Rapids, MI. Ronald D Ford, MD, is at Grand Rapids Medical Education Partners/Michigan State University College of Human Medicine, Grand Rapids.
[Ti] Título:Vibration for Pain Reduction in a Plastic Surgery Clinic.
[So] Source:Plast Surg Nurs;36(2):63-8, 2016 Apr-Jun.
[Is] ISSN:1550-1841
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Patients can experience significant pain during routine procedures in the plastic surgery clinic. Methods for clinical pain reduction are often impractical, time-consuming, or ineffective. Vibration is a safe, inexpensive, and highly applicable modality for pain reduction that can be readily utilized for a wide variety of procedures. This study evaluated the use of vibration as a viable pain-reduction strategy in the clinical plastic surgery setting. Patients requiring at least 2 consecutive procedures that are considered painful were enrolled in the study. These included injections, staple removal, and suture removal. In the same patient, one half of the procedures were performed without vibration and the other half with vibration. After completing the procedures, the patients rated their pain with vibration and without vibration. The patient and the researcher also described the experience with a short questionnaire. Twenty-eight patients were enrolled in the study. Patients reported significantly less pain on the Numeric Rating Scale pain scale when vibration was used compared with the control group (p < .001). The average pain score was 3.46 without vibration and 1.93 with vibration, and vibration with injections resulted in the greatest improvement. Eighty-six percent of the patients claimed that vibration significantly reduced their pain. Vibration is an effective method of pain reduction. It significantly reduces the pain experienced by patients during minor office procedures. Given its practicality and ease of use, it is a welcome tool in the plastic surgery clinic.
[Mh] Termos MeSH primário: Manejo da Dor/métodos
Cirurgia Plástica/métodos
Vibração/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Procedimentos Cirúrgicos Menores/métodos
Manejo da Dor/instrumentação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160603
[St] Status:MEDLINE
[do] DOI:10.1097/PSN.0000000000000134


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[PMID]:27155711
[Au] Autor:Klein R
[Ad] Endereço:Facharzt für Allgemeinmedizin, Sportmedizin, Chirotherapie und Palliativmedizin, Hauptstraße 14, D-85235, Pfaffenhofen a. d. Glonn, Deutschland. reinhold@medicus-parvus.de.
[Ti] Título:[Minor surgery in the family practice - basic of minor operations].
[Ti] Título:Allgemeines zu kleinen Eingriffen..
[So] Source:MMW Fortschr Med;158(9):56-9, 2016 May 12.
[Is] ISSN:1438-3276
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios/instrumentação
Procedimentos Cirúrgicos Ambulatórios/métodos
Medicina Geral/instrumentação
Medicina Geral/métodos
Procedimentos Cirúrgicos Menores/instrumentação
Procedimentos Cirúrgicos Menores/métodos
[Mh] Termos MeSH secundário: Alemanha
Seres Humanos
Programas Nacionais de Saúde
Garantia da Qualidade dos Cuidados de Saúde/normas
Técnicas de Sutura
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1608
[Cu] Atualização por classe:160509
[Lr] Data última revisão:
160509
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160509
[St] Status:MEDLINE
[do] DOI:10.1007/s15006-016-8211-3


  10 / 1011 MEDLINE  
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Braz, José Reinaldo C
Texto completo
[PMID]:27062561
[Au] Autor:Nogueira FR; Braz LG; de Andrade LR; de Carvalho AL; Vane LA; Módolo NS; Aun AG; Souza KM; Braz JR; Braz MG
[Ad] Endereço:Faculdade de Medicina de Botucatu, UNESP - Univ Estadual Paulista, Departamento de Anestesiologia, Botucatu, SP, Brazil.
[Ti] Título:Evaluation of genotoxicity of general anesthesia maintained with desflurane in patients under minor surgery.
[So] Source:Environ Mol Mutagen;57(4):312-6, 2016 May.
[Is] ISSN:1098-2280
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:There is controversy over the genotoxic effects of volatile anesthetics. The available literature on the genotoxicity of desflurane, one of the newest volatile halogenated agents used for general anesthesia maintenance, is scarce. This study aimed to evaluate the genotoxic potential of desflurane in 15 patients without comorbidities, of both sexes, who underwent minor surgeries lasting at least 90 min. Patients enrolled in the study received desflurane anesthesia (6%); blood samples were collected before anesthesia induction (T0), 90 min after the beginning of anesthesia (T1), and on the day following surgery (T2). DNA damage was evaluated in lymphocytes using the alkaline comet assay. We found statistically significant increases in DNA damage in T2 samples compared to T0. The findings suggest that desflurane anesthesia induces DNA strand breaks/alkali-labile sites on the day after minimally invasive surgery in healthy patients.
[Mh] Termos MeSH primário: Anestésicos Inalatórios/toxicidade
Dano ao DNA/efeitos dos fármacos
Isoflurano/análogos & derivados
Linfócitos/efeitos dos fármacos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Anestesia Geral
Ensaio Cometa
Feminino
Seres Humanos
Isoflurano/toxicidade
Linfócitos/metabolismo
Masculino
Meia-Idade
Procedimentos Cirúrgicos Menores
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Anesthetics, Inhalation); CRS35BZ94Q (desflurane); CYS9AKD70P (Isoflurane)
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160417
[Lr] Data última revisão:
160417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160411
[St] Status:MEDLINE
[do] DOI:10.1002/em.22012



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