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Pesquisa : F01.145.209.530.136 [Categoria DeCS]
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  1 / 192 MEDLINE  
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[PMID]:28116967
[Au] Autor:Girish G; D'souza RE; D'souza P; Lewis MG; Baker DM
[Ad] Endereço:a Consultant in general and vascular surgery, Department of General & Vascular Surgery , Watford General Hospital , Watford , UK.
[Ti] Título:Role of surgical thoracic sympathetic interruption in treatment of facial blushing: a systematic review.
[So] Source:Postgrad Med;129(2):267-275, 2017 Mar.
[Is] ISSN:1941-9260
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: This paper aims to review the evidence to support the effectiveness of sympathectomy as a treatment for facial blushing in terms of relief of facial blushing, patient satisfaction, recurrence of blushing, patients regretting treatment and its associated complications. METHODS: A systematic search strategy was performed in Ovid-Medline, Embase, Cochrane library and NICE. Studies reporting outcomes of sympathetic interruption in the treatment of facial blushing were retrieved. RESULTS: Nine studies met the inclusion criteria with 1369 patients included in the final analysis. The age range of patients was 8 to 74 years (from 7 studies) with 56% females. Mean follow up was 21 months in 8 studies (range 6 to 30 months). The pooled proportion of patients who had good relief of facial blushing was 78.30% (95% C.I. 58.20% - 98.39%). Complete satisfaction was reported in 84.02% (95% C.I. 71.71% - 96.33%). Compensatory sweating and gustatory sweating were the commonest complications occurring in 74.18% (95% C.I. 58.10% - 90.26%) and 24.42% (95% C.I. 12.22% - 36.61%) respectively. The estimated proportion of patients regretting surgery was 6.79% (C.I 2.08% 11.50%). CONCLUSION: Sympathetic interruption at T2 or T2-3 ganglia appears to be an effective treatment for facial blushing. However, lack of randomized trials comparing sympathetic interruption with non-surgical methods of treatment and heterogeneity of included studies with respect to assessment of outcome measures preclude strong evidence and definitive recommendations.
[Mh] Termos MeSH primário: Afogueamento/fisiologia
Ganglionectomia/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Feminino
Seres Humanos
Masculino
Meia-Idade
Satisfação do Paciente
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170328
[Lr] Data última revisão:
170328
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1080/00325481.2017.1283207


  2 / 192 MEDLINE  
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[PMID]:27692205
[Au] Autor:Kristian S; Christer D
[Ad] Endereço:Department of Vascular Surgery, Sahlgrenska University Hospital, Per Dubbsgatan 1, Gothenburg S-41345, Sweden.
[Ti] Título:Facial Blushing: Patient Selection and Long-Term Results.
[So] Source:Thorac Surg Clin;26(4):459-463, 2016 Nov.
[Is] ISSN:1558-5069
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Facial blushing, associated with social phobia, may have severe negative impact on the quality of daily life. The first line of treatment should be psychological and/or pharmacologic. In severe cases not responding to nonsurgical treatment, surgical sympathetic denervation is an option. A thorough disclosure of effects, complications, and side effects is mandatory and patient selection is crucial to obtain high patient satisfaction from surgical treatment.
[Mh] Termos MeSH primário: Afogueamento
Seleção de Pacientes
Fobia Social/terapia
[Mh] Termos MeSH secundário: Antagonistas Adrenérgicos beta/uso terapêutico
Afogueamento/fisiologia
Afogueamento/psicologia
Terapia Cognitiva
Terapia Combinada
Seres Humanos
Satisfação do Paciente
Fobia Social/fisiopatologia
Fobia Social/psicologia
Inibidores da Captação de Serotonina/uso terapêutico
Simpatectomia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Adrenergic beta-Antagonists); 0 (Serotonin Uptake Inhibitors)
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161004
[St] Status:MEDLINE


  3 / 192 MEDLINE  
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[PMID]:27420477
[Au] Autor:Jadresic E
[Ad] Endereço:Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad de Chile, Santiago, Chile. Address: Facultad de Medicina, Universidad de Chile, Avenida La Paz 1003, Santiago de Chile. Email: ejadresic@gmail.com.
[Ti] Título:Social blushing: a neuropsychiatric disorder?
[Ti] Título:El sonrojo social: ¿un trastorno neuropsiquiátrico?.
[So] Source:Medwave;16(6):e6490, 2016 Jul 05.
[Is] ISSN:0717-6384
[Cp] País de publicação:Chile
[La] Idioma:eng; spa
[Ab] Resumo:Until recently, social blushing was rarely discussed in the medical literature. It was usually considered only a normal and occasional physiological reaction associated with emotions such as embarrassment brought on by social situations. This has changed in recent years with attention increasingly being paid to blushing, either in the context of social anxiety disorder or in its own right. Some argue that blushing has adaptive value, so it may not make sense to treat people for blushing, a view we do not agree with since the blushing experience is not the same for everyone and those who seek medical help do so because their blushing impairs their quality of life. Furthermore, the fact that a symptom is adaptive does not place it beyond the scope of medical treatment. Quite the contrary: physicians treat many symptoms that cause discomfort, e.g. pain and vomiting, which may be regarded as adaptive, yet few doubt the value of treating such problems. The same is true for blushing. Recognizing its potential adaptive value does not mean that it should not be treated. The distress of those who blush easily and seek help justifies attempts to find ways to help them. This article underlines the need to distinguish between normal social blushing and pathological social blushing and, at the same time, reviews current available treatments for individuals who seek help for this condition.
[Mh] Termos MeSH primário: Ansiedade/psicologia
Afogueamento/psicologia
Qualidade de Vida
[Mh] Termos MeSH secundário: Afogueamento/fisiologia
Emoções
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160716
[St] Status:MEDLINE
[do] DOI:10.5867/medwave.2016.06.6490


  4 / 192 MEDLINE  
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[PMID]:27133173
[Au] Autor:Nikolic M; de Vente W; Colonnesi C; Bögels SM
[Ad] Endereço:Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands.
[Ti] Título:Autonomic arousal in children of parents with and without social anxiety disorder: a high-risk study.
[So] Source:J Child Psychol Psychiatry;57(9):1047-55, 2016 09.
[Is] ISSN:1469-7610
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Autonomic hyperarousal in social situations is considered a genetic vulnerability factor for social anxiety disorder (SAD), but so far it is unstudied in children at risk for developing SAD. We examined autonomic activity during socially stressful tasks in children of mothers and fathers with and without lifetime SAD to reveal possible biological mechanisms of intergenerational transmission of SAD. METHODS: One hundred ten children aged 4.5 years were asked to sing a song in front of an audience and watch back their performance in the presence of that audience. Heart rate (HR), heart rate variability (HRV), electrodermal activity (EDA), and blushing (cheek blood flow and temperature) were measured in anticipation of, during, and after the tasks. Both parents' lifetime SAD status was assessed, and both parents reported about their own and their child's social anxiety symptoms. RESULTS: Children of parents with lifetime SAD blushed more during the socially challenging tasks than children of parents without SAD. Moreover, children of parents with more social anxiety symptoms showed increased EDA throughout the tasks. Finally, more blushing, increased EDA, and reduced HRV were associated with greater child social anxiety. CONCLUSIONS: This study adds to the current knowledge on the intergenerational transmission of SAD by providing evidence that children at risk for SAD are characterized by excessive blushing in socially challenging situations. The findings also demonstrate that heightened autonomic activity is a characteristic of social anxiety already during early childhood. Hence, autonomic hyperarousal, and blushing in particular, is likely to play an etiological role in the development of SAD.
[Mh] Termos MeSH primário: Sistema Nervoso Autônomo/fisiologia
Afogueamento/fisiologia
Filho de Pais Incapacitados
Resposta Galvânica da Pele/fisiologia
Frequência Cardíaca/fisiologia
Fobia Social/fisiopatologia
[Mh] Termos MeSH secundário: Sistema Nervoso Autônomo/fisiopatologia
Pré-Escolar
Feminino
Seres Humanos
Masculino
Comportamento Social
Estresse Psicológico/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160503
[St] Status:MEDLINE
[do] DOI:10.1111/jcpp.12563


  5 / 192 MEDLINE  
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[PMID]:26811084
[Au] Autor:Jadresic E
[Ad] Endereço:Department of Psychiatry and Mental Health, Faculty of Medicine, University of Chile, Santiago, Chile. ejadresic@gmail.com.
[Ti] Título:Facial blushing: relevance of psychiatric consultation prior to surgery.
[So] Source:Clin Auton Res;26(2):157-8, 2016 Apr.
[Is] ISSN:1619-1560
[Cp] País de publicação:Germany
[La] Idioma:eng
[Mh] Termos MeSH primário: Afogueamento/psicologia
[Mh] Termos MeSH secundário: Seres Humanos
Encaminhamento e Consulta
Simpatectomia
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1701
[Cu] Atualização por classe:171014
[Lr] Data última revisão:
171014
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160127
[St] Status:MEDLINE
[do] DOI:10.1007/s10286-016-0341-2


  6 / 192 MEDLINE  
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[PMID]:26641271
[Au] Autor:Nikolic M; Colonnesi C; de Vente W; Bögels SM
[Ad] Endereço:University of Amsterdam.
[Ti] Título:Blushing in early childhood: Feeling coy or socially anxious?
[So] Source:Emotion;16(4):475-87, 2016 Jun.
[Is] ISSN:1931-1516
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Blushing has adaptive social functions. However, blushing is also assumed to be a hallmark of social anxiety and shyness. For the first time, blushing and its relation to the expressions of shyness and social anxiety was examined in early childhood. Four-and-a-half-year-old children (N = 102) were asked to perform (singing in front of an audience) and watched back their performance in the presence of that audience. Physiological blushing (blood volume pulse, blood volume, and cheek temperature) was measured, and positive (gaze and/or head aversion with smiling) and negative expressions of shyness (gaze and/or head aversion with negative facial expressions) were observed. In addition, both parents reported their child's social anxiety level. A higher level of blushing response was related to greater social anxiety in children who displayed few positive shy expressions, but not in children who displayed many positive shy expressions during the performance. Moreover, children who expressed many negative shy expressions were highly socially anxious, no matter their blushing. Our findings suggest that blushing appears to be an early indicator of social anxiety in children who are not able to successfully cope with fearful social situations. In contrast, blushing, in combination with positive shy behaviors, appears to be an adaptive social mechanism that may protect from heightened social anxiety. (PsycINFO Database Record
[Mh] Termos MeSH primário: Afogueamento/fisiologia
Emoções/fisiologia
Fobia Social/fisiopatologia
[Mh] Termos MeSH secundário: Pré-Escolar
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151208
[St] Status:MEDLINE
[do] DOI:10.1037/emo0000131


  7 / 192 MEDLINE  
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[PMID]:26450116
[Au] Autor:Härtling S; Klotsche J; Heinrich A; Hoyer J
[Ad] Endereço:Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
[Ti] Título:Cognitive Therapy and Task Concentration Training Applied as Intensified Group Therapies for Social Anxiety Disorder with Fear of Blushing-A Randomized Controlled Trial.
[So] Source:Clin Psychol Psychother;23(6):509-522, 2016 Nov.
[Is] ISSN:1099-0879
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The current study examines the efficacy of intensified group therapy for social anxiety disorder with fear of blushing. Task concentration training (TCT) and cognitive therapy (CT) were applied during one weekend and compared with a waiting list condition in a randomized controlled trial including 82 patients. On a second weekend, another intervention was added (resulting in TCT-CT and CT-TCT sequences) to examine order effects. Task concentration training and CT were both superior to the waiting list and equally effective after the first therapy weekend. Also, no differences were found between the sequences TCT-CT and CT-TCT at post-assessment. At 6- and 12-month follow-up, effects remained stable or further improved. At the 6-month follow-up, remission rates in completers, established by diagnostic status, were between 69% and 73%. Intensified group therapy is highly effective in treating social anxiety disorder with fear of blushing. Group formats for patients sharing a common primary concern may contribute to the dissemination of cognitive-behavioural therapy. Copyright © 2015 John Wiley & Sons, Ltd. Key Practitioner Message: This study focuses on blushing from fearful individuals within the SAD spectrum to improve evidence for treatment efficacy in those whose social fears are centred around observable bodily sensations. This study integrates task concentration training into the SAD model of Clark and Wells to combine two evidence-based treatments for SAD under one treatment model. This study uses an innovative format of brief, intensified group therapy, conducted on two full-day weekend group sessions delivered over two weekends, with strong observed effect sizes.
[Mh] Termos MeSH primário: Atenção
Afogueamento/psicologia
Terapia Cognitiva/métodos
Medo/psicologia
Fobia Social/terapia
Psicoterapia de Grupo/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Fobia Social/psicologia
Escalas de Graduação Psiquiátrica
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170503
[Lr] Data última revisão:
170503
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151010
[St] Status:MEDLINE
[do] DOI:10.1002/cpp.1975


  8 / 192 MEDLINE  
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[PMID]:25994922
[Au] Autor:Dijk C; de Jong PJ; Peters ML
[Ad] Endereço:Programme Group Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands.
[Ti] Título:Judgmental Biases of Individuals with a Fear of Blushing: The Role of Relatively Strict Social Norms.
[So] Source:Clin Psychol Psychother;23(2):176-82, 2016 Mar-Apr.
[Is] ISSN:1099-0879
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: Blushing-fearful individuals often expect that others will judge them negatively. In two studies, we tested if this could be explained by having relatively strict beliefs about what is appropriate social behaviour. Study 1 used a student sample (n = 74), whereas study 2 compared a clinical treatment-seeking sample of blushing-fearful individuals (n = 33) with a non-anxious control group (n = 31). In both studies, participants were asked to read descriptions of common behaviours that could be considered as breaching the prevailing social norms but not necessarily so. Participants indicated (i) to what extent they considered these behaviours as violating the prevailing norm and (ii) their expectation of observers' judgments. Study 1 showed that strict norms were indeed related to fear of blushing and that the tendency of fearful participants to expect negative judgments could at least partly explain this relationship. Study 2 showed that high-fearful and low-fearful individuals do indeed differ in the strictness of their norms and that especially the norms that individuals apply to themselves might be relevant. These findings may provide fresh clues for improving available treatment options. KEY PRACTITIONER MESSAGES: Blushing-fearful individuals attribute relatively strict social norms to other people about which behaviours are appropriate and which are not and have stricter personal norms as well. Blushing-fearful individuals' tendency to expect overly negative judgments in ambivalent social situations can partly be explained by their relatively strict social norms. Having relatively strict social norms may (also) explain why blushing-fearful individuals report to blush often and intensely. It may be worthwhile to address strict social norms in therapy for fear of blushing.
[Mh] Termos MeSH primário: Afogueamento/psicologia
Medo/psicologia
Julgamento
Preconceito/psicologia
Normas Sociais
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Países Baixos
Comportamento Social
Estudantes/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170112
[Lr] Data última revisão:
170112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150522
[St] Status:MEDLINE
[do] DOI:10.1002/cpp.1958


  9 / 192 MEDLINE  
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[PMID]:26422844
[Au] Autor:Kaplan T; Ekmekçi P; Koçer B; Han S
[Ti] Título:Bilateral sympathicotomy for hyperhidrosis without using single-lung ventilation.
[So] Source:Turk J Med Sci;45(4):771-4, 2015.
[Is] ISSN:1300-0144
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/AIM: The goal of this retrospective study was to evaluate the outcomes and complications of bilateral videothoracoscopic sympathicotomy without using single-lung ventilation in the treatment of primary hyperhidrosis and facial blushing. MATERIALS AND METHODS: We retrospectively reviewed 154 consecutive patients (70 females and 84 males) who underwent bilateral sympathicotomy for palmar, axillary, and facial/scalp hyperhidrosis or facial blushing from February 2005 to June 2013. The patients were intubated with single-lumen endotracheal tube, and then sympathicotomies were performed via videothoracoscopy during controlled apnea periods. RESULTS: Sympathicotomies were performed at costal levels 2, 3, and 4. No perioperative mortality or conversion to open surgery was recorded. Mean operation time was 31.2 ± 2.4 min and mean hospital stay was 1.1 ± 0.6 days. One patient experienced a unilateral pneumothorax that required treatment. There were no abnormal hemodynamic parameters measured during the perioperative apnea periods. The long term follow-up period was 21.4 ± 5 months. Twenty-nine cases (18.8%) were complicated by compensatory sweating. No recurrence was observed during the follow-up period. CONCLUSION: Video-assisted thoracoscopic sympathicotomy without lung isolation provides effective cure of primary hyperhidrosis and facial blushing. This procedure can shorten the operative time without any aberrant hemodynamic shifts.
[Mh] Termos MeSH primário: Hiperidrose/cirurgia
Complicações Intraoperatórias/terapia
Pneumotórax
Complicações Pós-Operatórias/diagnóstico
Respiração Artificial/métodos
Simpatectomia
Cirurgia Torácica Vídeoassistida
[Mh] Termos MeSH secundário: Adulto
Afogueamento
Feminino
Seres Humanos
Hiperidrose/diagnóstico
Hiperidrose/fisiopatologia
Masculino
Monitorização Intraoperatória/métodos
Duração da Cirurgia
Pneumotórax/etiologia
Pneumotórax/terapia
Recidiva
Estudos Retrospectivos
Sudorese
Simpatectomia/efeitos adversos
Simpatectomia/métodos
Cirurgia Torácica Vídeoassistida/efeitos adversos
Cirurgia Torácica Vídeoassistida/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1510
[Cu] Atualização por classe:151001
[Lr] Data última revisão:
151001
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151002
[St] Status:MEDLINE


  10 / 192 MEDLINE  
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[PMID]:25988536
[Au] Autor:Dixon LJ; Kemp JJ; Farrell NR; Blakey SM; Deacon BJ
[Ad] Endereço:University of Mississippi Medical Center, United States. Electronic address: ljdixon@umc.edu.
[Ti] Título:Interoceptive exposure exercises for social anxiety.
[So] Source:J Anxiety Disord;33:25-34, 2015 Jun.
[Is] ISSN:1873-7897
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Individuals with social anxiety disorder (SAD) commonly experience panic attacks and evidence increased anxiety sensitivity (AS) specific to noticeable anxiety sensations. Interoceptive exposure (IE) is an effective treatment for reducing AS, but few IE tasks target fears of blushing, sweating, or trembling, which are incorporated within AS social concerns and especially feared by individuals with SAD. The primary study aims were trifold: (1) identify novel IE tasks that produce blushing, sweating, and/or trembling; (2) assess the intensity of sensations and anxiety produced by a series of novel and validated IE tasks; and (3) evaluate the incremental validity of combining an IE task and a speech task. Individuals (N = 55) with heightened fear of noticeably blushing, sweating, and/or trembling completed a control task and 8 IE tasks (e.g., hot sauce, hyperventilation). All tasks produced greater intensity of anxiety and sensations compared to the control task (ps < .001; range of η(p)(2) = .20-.50). Responses to the combination of an IE task and social task compared to a social task alone did not differ significantly. Future directions for research and clinical implications of the findings are discussed.
[Mh] Termos MeSH primário: Afogueamento/psicologia
Medo/psicologia
Terapia Implosiva/métodos
Transtorno de Pânico/terapia
Transtornos Fóbicos/terapia
Sudorese/fisiologia
[Mh] Termos MeSH secundário: Análise de Variância
Ansiedade/psicologia
Ansiedade/terapia
Terapia por Exercício/métodos
Medo/fisiologia
Feminino
Temperatura Alta
Seres Humanos
Hiperventilação/psicologia
Masculino
Transtorno de Pânico/psicologia
Transtornos Fóbicos/psicologia
Postura/fisiologia
Corrida/fisiologia
Sensação/fisiologia
Fala/fisiologia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1601
[Cu] Atualização por classe:150623
[Lr] Data última revisão:
150623
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150520
[St] Status:MEDLINE



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