Base de dados : MEDLINE
Pesquisa : E04.650 [Categoria DeCS]
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  1 / 10852 MEDLINE  
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[PMID]:29465600
[Au] Autor:Ryu C; Boffa D; Bramley K; Pisani M; Puchalski J
[Ad] Endereço:Yale School of Medicine, Department of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine.
[Ti] Título:A novel endobronchial approach to massive hemoptysis complicating silicone Y-stent placement for tracheobronchomalacia: A case report.
[So] Source:Medicine (Baltimore);97(8):e9980, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Airway stabilization for severe, symptomatic tracheobronchomalacia (TBM) may be accomplished by silicone Y-stent placement. Common complications of the Y-stent include mucus plugging and granulation tissue formation. PATIENT CONCERNS: We describe a rare case of massive hemoptysis originating from a silicone Y-stent placed for TBM. DIAGNOSES: An emergent bronchoscopy showed an actively bleeding, pulsatile vessel at the distal end of the left bronchial limb of the Y-stent. It was felt that the bleeding was caused by, or at least impacted by, the distal left bronchial limb of the Y-stent eroding into the airway wall. INTERVENTIONS: We hypothesized that placement of oxidized regenerated cellulose (ORC) would provide initial hemostasis, and the subsequent placement of a biocompatible surgical sealant would lead to definitive resolution. OUTCOMES: ORC provided sufficient hemostasis and the subsequent synthetic polymer reinforced the tissue for complete cessation of the bleed. LESSONS: The combined use of ORC and a biocompatible surgical sealant provided long-term management for life-threatening hemoptysis, and potentially morbid procedures such as embolization or surgery were avoided by advanced endobronchial therapy.
[Mh] Termos MeSH primário: Broncoscopia/métodos
Hemoptise/cirurgia
Hemostase Endoscópica/métodos
Stents/efeitos adversos
Traqueobroncomalácia/cirurgia
[Mh] Termos MeSH secundário: Idoso
Celulose Oxidada/administração & dosagem
Feminino
Hemoptise/etiologia
Hemostáticos/administração & dosagem
Seres Humanos
Implante de Prótese/instrumentação
Implante de Prótese/métodos
Silicones
Traqueobroncomalácia/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cellulose, Oxidized); 0 (Hemostatics); 0 (Silicones)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180222
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009980


  2 / 10852 MEDLINE  
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[PMID]:28464186
[Au] Autor:Chmielnicki M; Prokop A
[Ad] Endereço:Klinik für Unfall- und Wiederherstellungschirurgie, Klinikverbund Südwest, Kliniken Sindelfingen, Sindelfingen.
[Ti] Título:Minimalinvasive thorakoskopische Wirbelkörperersatzoperation durch Implantation eines Obelisken..
[So] Source:Z Orthop Unfall;155(2):229-231, 2017 04.
[Is] ISSN:1864-6743
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Placas Ósseas
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Implante de Prótese/métodos
Fusão Vertebral/instrumentação
Fusão Vertebral/métodos
Cirurgia Torácica Vídeoassistida/métodos
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Seres Humanos
Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação
Cirurgia Assistida por Computador/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[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:170503
[St] Status:MEDLINE
[do] DOI:10.1055/s-0043-105498


  3 / 10852 MEDLINE  
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[PMID]:29319544
[Au] Autor:Green W; Lind JT; Sheybani A
[Ad] Endereço:Department of Ophthalmology and Visual Sciences, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA.
[Ti] Título:Review of the Xen Gel Stent and InnFocus MicroShunt.
[So] Source:Curr Opin Ophthalmol;29(2):162-170, 2018 Mar.
[Is] ISSN:1531-7021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE OF REVIEW: Two new translimbal glaucoma devices (Xen Gel Stent and InnFocus MicroShunt) have been developed with the goal of optimizing the predictability and safety for subconjunctival glaucoma surgery. RECENT FINDINGS: The new subconjunctival glaucoma implants are manufactured from nonsilicone, biocompatible materials, which may reduce the postoperative inflammatory and fibrotic reactions that can lead to failure. Early data suggests a favorable safety profile with significant reductions in intraocular pressure (IOP). The prevention of chronic hypotony has been a hallmark of the devices, which utilize an intrinsic flow-limiting design based on the tube length and internal lumen diameter. SUMMARY: Early data with the XEN Gel Stent and InnFocus MicroShunt show promising results. Prospective comparative studies comparing these devices with tube shunt and trabeculectomy will be needed.
[Mh] Termos MeSH primário: Implantes para Drenagem de Glaucoma
Glaucoma/cirurgia
Stents
[Mh] Termos MeSH secundário: Humor Aquoso/fisiologia
Túnica Conjuntiva/cirurgia
Glaucoma/fisiopatologia
Seres Humanos
Pressão Intraocular/fisiologia
Procedimentos Cirúrgicos Minimamente Invasivos
Implante de Prótese
Tonometria Ocular
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[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:180111
[St] Status:MEDLINE
[do] DOI:10.1097/ICU.0000000000000462


  4 / 10852 MEDLINE  
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[PMID]:29256897
[Au] Autor:Yook E; Vinod K; Panarelli JF
[Ad] Endereço:Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai and Icahn School of Medicine at Mount Sinai, New York, New York, USA.
[Ti] Título:Complications of micro-invasive glaucoma surgery.
[So] Source:Curr Opin Ophthalmol;29(2):147-154, 2018 Mar.
[Is] ISSN:1531-7021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE OF REVIEW: Micro-invasive glaucoma surgery (MIGS) is gaining favor with both comprehensive ophthalmologists and glaucoma specialists due in part to its improved safety profile when compared to traditional incisional glaucoma surgery. Despite a micro-invasive approach and minimal induced tissue trauma, each MIGS procedure is associated with unique complications. The present article summarizes evidence from the 2016 to 2017 review period regarding the safety profiles of Schlemm's canal-based, suprachoroidal, and subconjunctival microstents. RECENT FINDINGS: Ab-interno microstents are subject to intraoperative malpositioning, which can result in luminal obstruction and decreased efficacy. Acutely elevated intraocular pressure (IOP) has been observed with the iStent (Glaukos Corp., Laguna Hills, CA, USA; 2-4.3%), Hydrus Microstent (Ivantis Inc., Irvine, CA, USA; 6%), Cypass Microstent (Alcon, Fort Worth, TX, USA; 3-10.8%), and Xen Gel Stent (Allergan Plc, Dublin, Ireland; 21.5%). Meanwhile, most cases of hypotony (IOP < 6 mmHg) occurred within the first postoperative month, resolved with conservative treatment and without further surgical intervention, and were not associated with vision-threatening sequelae. SUMMARY: Interest in MIGS continues to grow as these procedures allow surgeons to intervene earlier in the disease course for patients with milder stages of glaucoma. Complications associated with MIGS, albeit infrequent and mostly transient, do occur despite a less invasive approach than trabeculectomy and tube shunt surgery.
[Mh] Termos MeSH primário: Implantes para Drenagem de Glaucoma/efeitos adversos
Glaucoma de Ângulo Aberto/cirurgia
Stents/efeitos adversos
[Mh] Termos MeSH secundário: Glaucoma de Ângulo Aberto/fisiopatologia
Seres Humanos
Pressão Intraocular/fisiologia
Falha de Prótese
Implante de Prótese
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[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:171220
[St] Status:MEDLINE
[do] DOI:10.1097/ICU.0000000000000457


  5 / 10852 MEDLINE  
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[PMID]:29227507
[Au] Autor:Nistad K; Göransson F; Støle E; Shams H; Gjerdrum B
[Ti] Título:The Use of Capsular Tension Rings to Reduce Refractive Shift in Patients With Implantation of Trifocal Intraocular Lenses.
[So] Source:J Refract Surg;33(12):802-806, 2017 Dec 01.
[Is] ISSN:1081-597X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine whether use of a capsular tension ring (CTR) can increase refractive stability in patients with implantation of two different trifocal intraocular lenses (IOLs). METHODS: A prospective, consecutive series of eyes underwent refractive lens exchange with implantation of two different trifocal IOL designs: FineVision Micro F (non-toric) and FineVision POD FT (toric) (PhysIOL, Liege, Belgium). Power calculation was determined using the Haigis formula. Refractive lens exchange surgery was performed according to the standard Memira protocol. Refractive results and stability were assessed at 2 weeks and 3 months postoperatively. RESULTS: Three hundred eighty-eight eyes were included in the analysis. Overall, 71% and 76% of MicroF eyes implanted with (n = 139) and without (n = 104) a CTR, respectively, had hyperopic shift; 9% of MicroF eyes with a CTR had a shift of greater than +0.50 to +0.75 or less diopters (D) and 4% had a shift of greater than +0.75 D. In MicroF eyes without a CTR, 12% and 3% of eyes experienced a refractive shift of greater than +0.50 to +0.75 D or less and greater than +0.75 D, respectively. In the POD FT group, 72% and 69% of eyes with (n = 81) and without (n = 64) a CTR, respectively, had hyperopic shift; 10% of POD FT eyes with a CTR had a change of greater than +0.50 to +0.75 D or less and 7% had a shift of greater than +0.75 D. In POD FT eyes without a CTR, 13% and 3% experienced a refractive shift of greater than +0.50 to +0.75 D or less and greater than +0.75 D, respectively. For the MicroF design, the best refractive stability was found in the CTR group and the poorest stability in the non-CTR group (P = .084). For the POD FT design, the best refractive stability was found in the non-CTR group and the poorest stability in the CTR group (P = .297). CONCLUSIONS: Up to 7% of eyes implanted with FineVision trifocal IOLs had a hyperopic shift of greater than +0.75 D approximately 2 weeks to 3 months postoperatively. Using a CTR in MicroF eyes had no statistically significant effect on refractive stability. Placing a CTR with POD FT IOLs appeared to reduce refractive stability, although not significantly. [J Refract Surg. 2017;33(12):802-806.].
[Mh] Termos MeSH primário: Lentes Intraoculares
Facoemulsificação
Próteses e Implantes
Implante de Prótese
Erros de Refração/prevenção & controle
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Implante de Lente Intraocular
Masculino
Meia-Idade
Estudos Prospectivos
Pseudofacia/fisiopatologia
Refração Ocular/fisiologia
Testes Visuais
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[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:171212
[St] Status:MEDLINE
[do] DOI:10.3928/1081597X-20170829-02


  6 / 10852 MEDLINE  
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[PMID]:29206652
[Au] Autor:Vinod K
[Ad] Endereço:Department of Ophthalmology, Icahn School of Medicine at Mount Sinai and New York Eye and Ear Infirmary of Mount Sinai, New York, New York, USA.
[Ti] Título:Suprachoroidal shunts.
[So] Source:Curr Opin Ophthalmol;29(2):155-161, 2018 Mar.
[Is] ISSN:1531-7021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE OF REVIEW: This article reviews recent studies evaluating the efficacy and safety of ab externo and ab interno suprachoroidal shunts designed to augment uveoscleral outflow in patients with open angle glaucoma. RECENT FINDINGS: The Gold Shunt and STARflo are placed into the suprachoroidal space via an ab externo approach, while the CyPass Micro-Stent and iStent Supra are inserted ab interno through a clear corneal incision. A small randomized clinical trial suggested similar efficacy among two different models of the Gold Shunt and the Ahmed glaucoma valve. The pivotal multicenter, randomized COMPASS trial showed that the CyPass Micro-Stent combined with cataract surgery is more effective than cataract surgery alone through 2 years. Study results suggest a favorable safety profile for each suprachoroidal device and intraocular pressure-lowering to the mid-to-high teens with an associated reduction in medication burden. Given the relative novelty of these procedures, it is currently unknown whether fibroblastic proliferation within the suprachoroidal space may limit their long-term success. SUMMARY: Renewed interest in the suprachoroidal space has led to the development of new biocompatible glaucoma implants. Ab interno devices are easily combined with cataract surgery and preserve conjunctiva for future incisional glaucoma surgery. Additional data regarding the long-term efficacy and late complications of suprachoroidal shunts are needed.
[Mh] Termos MeSH primário: Corioide/cirurgia
Implantes para Drenagem de Glaucoma
Glaucoma de Ângulo Aberto/cirurgia
[Mh] Termos MeSH secundário: Humor Aquoso/fisiologia
Materiais Biocompatíveis
Corioide/fisiologia
Glaucoma de Ângulo Aberto/fisiopatologia
Seres Humanos
Pressão Intraocular/fisiologia
Implante de Prótese
Esclera/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Biocompatible Materials)
[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:171206
[St] Status:MEDLINE
[do] DOI:10.1097/ICU.0000000000000458


  7 / 10852 MEDLINE  
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[PMID]:29233363
[Au] Autor:Ali J; Balasubramanian S; Berman M; Abu-Omar Y; Tsui S
[Ad] Endereço:Department of Cardiothoracic Transplantation, Papworth Hospital, Cambridge, United Kingdom. Electronic address: ja297@cam.ac.uk.
[Ti] Título:Anticoagulant-Free Off-Pump Left Ventricular Assist Device Implant.
[So] Source:Ann Thorac Surg;105(1):e37-e39, 2018 Jan.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Implantable left ventricular assist device (LVAD) therapy is an established treatment for advanced heart failure. LVADs are usually implanted using intra-operative anticoagulation with or without cardiopulmonary bypass. We describe an anticoagulant-free off-pump LVAD implant technique to circumvent potential complications associated with conventional approaches. This technique is safe and is probably the least invasive surgical approach for LVAD implantation.
[Mh] Termos MeSH primário: Insuficiência Cardíaca/terapia
Coração Auxiliar
Implante de Prótese/métodos
[Mh] Termos MeSH secundário: Anticoagulantes/uso terapêutico
Ponte Cardiopulmonar
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticoagulants)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  8 / 10852 MEDLINE  
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[PMID]:29419675
[Au] Autor:Zou Y; Han Q; Weng X; Zou Y; Yang Y; Zhang K; Yang K; Xu X; Wang C; Qin Y; Wang J
[Ad] Endereço:Department of Orthopedics, The Second Hospital of Jilin University, Changchun.
[Ti] Título:The precision and reliability evaluation of 3-dimensional printed damaged bone and prosthesis models by stereo lithography appearance.
[So] Source:Medicine (Baltimore);97(6):e9797, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recently, clinical application of 3D printed model was increasing. However, there was no systemic study for confirming the precision and reliability of 3D printed model. Some senior clinical doctors mistrusted its reliability in clinical application. The purpose of this study was to evaluate the precision and reliability of stereolithography appearance (SLA) 3D printed model.Some related parameters were selected to research the reliability of SLA 3D printed model. The computed tomography (CT) data of bone/prosthesis and model were collected and 3D reconstructed. Some anatomical parameters were measured and statistical analysis was performed; the intraclass correlation coefficient (ICC) was used to was used to evaluate the similarity between the model and real bone/prosthesis. the absolute difference (mm) and relative difference (%) were conducted. For prosthesis model, the 3-dimensional error was measured.There was no significant difference in the anatomical parameters except max height (MH) of long bone. All the ICCs were greater than 0.990. The maximum absolute and relative difference were 0.45 mm and 1.10%; The 3-dimensional error analysis showed that positive/minus distance were 0.273 mm/0.237 mm.The application of SLA 3D printed model in diagnosis and treatment process of complex orthopedic disease was reliable and precise.
[Mh] Termos MeSH primário: Osso e Ossos/diagnóstico por imagem
Processamento de Imagem Assistida por Computador/métodos
Imagem Tridimensional/métodos
Doenças Musculoesqueléticas
Procedimentos Ortopédicos
Estereolitografia
[Mh] Termos MeSH secundário: Adulto
Idoso
Osso e Ossos/lesões
China
Simulação por Computador
Precisão da Medição Dimensional
Feminino
Seres Humanos
Masculino
Meia-Idade
Doenças Musculoesqueléticas/diagnóstico
Doenças Musculoesqueléticas/cirurgia
Procedimentos Ortopédicos/instrumentação
Procedimentos Ortopédicos/métodos
Implante de Prótese/instrumentação
Implante de Prótese/métodos
Reprodutibilidade dos Testes
[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:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009797


  9 / 10852 MEDLINE  
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Texto completo SciELO Brasil
[PMID]:29211226
[Au] Autor:Caldeira CCB; Machado RC; Caldeira DCB
[Ad] Endereço:Tampa General Hospital, FACT Surgery Division Cardiothoracic Surgery, University of South Florida, Tampa, FL, USA.
[Ti] Título:Implantation of Short-Term and Long-Term Right Ventricular Assist Devices.
[So] Source:Braz J Cardiovasc Surg;32(5):435-437, 2017 Sep-Oct.
[Is] ISSN:1678-9741
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:The last decade has seen considerable growth in the use of left ventricular assist devices (LVAD), in end-phase heart failure treatment. The indications, contraindications and implantation techniques are well-defined. However, information about mechanical support for right ventricular failure is lacking. The aim of this communication is to present alternative techniques for implantation of short- and longterm right ventricular assist devices. Implanting the device in the right atrium has certain advantages when compared with the right ventricle. It is an easier surgical technique that preserves the tricuspid valve and it can potentially reduce the risk of pump thrombosis.
[Mh] Termos MeSH primário: Insuficiência Cardíaca/cirurgia
Coração Auxiliar
[Mh] Termos MeSH secundário: Oxigenação por Membrana Extracorpórea
Feminino
Insuficiência Cardíaca/etiologia
Seres Humanos
Meia-Idade
Implante de Prótese
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


  10 / 10852 MEDLINE  
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[PMID]:29328615
[Au] Autor:Radunovic A; Kosutic M; Vulovic M; Milev B; Janjusevic N; Ivosevic A; Krulj V
[Ti] Título:Ilizarov method as limb salvage in treatment of massive femoral defect after unsuccessful tumor arthroplasty.
[So] Source:Vojnosanit Pregl;73(8):779-82, 2016 Aug.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Introduction: Surgical management of massive bone defects is very challenging in terms of estimating possibilities of saving the extremity and adequate method that can make it possible. Selection of methods is additionally limited in the presence of infection at site of defect. Case report: The female patient, diagnosed with Ewing sarcoma was treated by segmental bone resection and implantation of Kotz modular tumor endoprosthesis. After 5 years the signs of infection occured and persisted with low grade intensity. After falling, 12 years following implantation, the patient acquired periprosthetic fracture. Then endoprosthesis was removed, all along with surgical debridement of wound and application of the Ilizarov apparatus. The apparatus was applied, osteotomy of callus and the tibia performed with transport of bone segments, untill reconstruction of defect and arthrodesis of the knee was achieved. Conclusion: The Ilizarov apparatus offered us huge possibilities for management of massive bone defects with natural bone which has superior biomechanical characteristics comparing to the implant. The most frequent complication of this method is a prolonged treatment period that demands good patient selection and preparation and wide surgical experience.
[Mh] Termos MeSH primário: Neoplasias Femorais/cirurgia
Fêmur/cirurgia
Técnica de Ilizarov
Salvamento de Membro
Sarcoma de Ewing/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Feminino
Fraturas do Fêmur/diagnóstico
Seres Humanos
Fraturas Periprotéticas/diagnóstico
Implante de Prótese
Infecções Relacionadas à Prótese/diagnóstico
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180113
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150419039R



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