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  1 / 1961 MEDLINE  
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[PMID]:28890091
[Au] Autor:Lisbona A
[Ad] Endereço:Département de physique médicale, institut de cancérologie de l'Ouest René-Gauducheau, 44805 Saint-Herblain, France. Electronic address: albert.lisbona@ico.unicancer.fr.
[Ti] Título:[What does the medical physicist expect from the radiation oncologist and vice versa?]
[Ti] Título:Qu'attend le physicien médical de l'oncologue radiothérapeute et inversement ?.
[So] Source:Cancer Radiother;21(6-7):560-562, 2017 Oct.
[Is] ISSN:1769-6658
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:The cooperation between radiation oncologist and medical physicist is essential to guarantee the quality and safety of the irradiation of our patients. It would be wrong to consider that the intervention of medical physicists in the patient management process is limited to the provision of calibrated and controlled equipment and to guarantee the validity of the dose distribution and the treatment time, while the radiation oncologist has the complete control of all clinical activities related to irradiation. The intervention of physicists at the stage of acquisition of anatomical data and throughout the phase of optimization of the treatment is already a reality. The recognition of the profession of medical physicist as a health profession comes to legitimize this intervention. Should physician-physicist cooperation be limited to these common tasks and participation in continuing care? Can we envisage a true synergy of action that goes beyond the field of care? The answer to the question: what does the physicist expect from the radiation oncologist and vice versa may bring elements to reinforce tomorrow's cooperation. This article is the second part of the question.
[Mh] Termos MeSH primário: Física Sanitária
Comunicação Interdisciplinar
Radioterapia (Especialidade)
Radiologia
Radioterapia
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170912
[St] Status:MEDLINE


  2 / 1961 MEDLINE  
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[PMID]:28871980
[Au] Autor:Mohan R; Das IJ; Ling CC
[Ad] Endereço:Department of Radiation Physics, MD Anderson Cancer Center, Houston, Texas. Electronic address: rmohan@mdanderson.org.
[Ti] Título:Empowering Intensity Modulated Proton Therapy Through Physics and Technology: An Overview.
[So] Source:Int J Radiat Oncol Biol Phys;99(2):304-316, 2017 Oct 01.
[Is] ISSN:1879-355X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Considering the clinical potential of protons attributable to their physical characteristics, interest in proton therapy has increased greatly in this century, as has the number of proton therapy installations. Until recently, passively scattered proton therapy was used almost entirely. Notably, the overall clinical results to date have not shown a convincing benefit of protons over photons. A rapid transition is now occurring with the implementation of the most advanced form of proton therapy, intensity modulated proton therapy (IMPT). IMPT is superior to passively scattered proton therapy and intensity modulated radiation therapy (IMRT) dosimetrically. However, numerous limitations exist in the present IMPT methods. In particular, compared with IMRT, IMPT is highly vulnerable to various uncertainties. In this overview we identify three major areas of current limitations of IMPT: treatment planning, treatment delivery, and motion management, and discuss current and future efforts for improvement. For treatment planning, we need to reduce uncertainties in proton range and in computed dose distributions, improve robust planning and optimization, enhance adaptive treatment planning and delivery, and consider how to exploit the variability in the relative biological effectiveness of protons for clinical benefit. The quality of proton therapy also depends on the characteristics of the IMPT delivery systems and image guidance. Efforts are needed to optimize the beamlet spot size for both improved dose conformality and faster delivery. For the latter, faster energy switching time and increased dose rate are also needed. Real-time in-room volumetric imaging for guiding IMPT is in its early stages with cone beam computed tomography (CT) and CT-on-rails, and continued improvements are anticipated. In addition, imaging of the proton beams themselves, using, for instance, prompt γ emissions, is being developed to determine the proton range and to reduce range uncertainty. With the realization of the advances described above, we posit that IMPT, thus empowered, will lead to substantially improved clinical results.
[Mh] Termos MeSH primário: Movimento
Terapia com Prótons/métodos
Planejamento da Radioterapia Assistida por Computador
Radioterapia de Intensidade Modulada/métodos
Tecnologia Radiológica
[Mh] Termos MeSH secundário: Física Sanitária
Seres Humanos
Transferência Linear de Energia
Neoplasias/diagnóstico por imagem
Neoplasias/radioterapia
Terapia com Prótons/normas
Terapia com Prótons/tendências
Qualidade da Assistência à Saúde
Dosagem Radioterapêutica
Planejamento da Radioterapia Assistida por Computador/normas
Radioterapia Guiada por Imagem
Radioterapia de Intensidade Modulada/normas
Radioterapia de Intensidade Modulada/tendências
Eficiência Biológica Relativa
Respiração
Incerteza
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170906
[St] Status:MEDLINE


  3 / 1961 MEDLINE  
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[PMID]:28847463
[Au] Autor:Barillot I
[Ad] Endereço:Service de radiothérapie, centre universitaire de cancérologie H. S.-Kaplan, 2, boulevard Tonnellé, 37044 Tours cedex, France; Université François-Rabelais, 10, boulevard Tonnellé, 37000 Tours, France. Electronic address: i.barillot@chu-tours.fr.
[Ti] Título:[What does the radiation oncologist expect from the physicist and inversely].
[Ti] Título:Qu'attend l'oncologue radiothérapeute du physicien et inversement..
[So] Source:Cancer Radiother;21(6-7):557-559, 2017 Oct.
[Is] ISSN:1769-6658
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:The cooperation between radiation oncologists and physicists is essential to guarantee the quality and safety of the irradiation of our patients. It would be wrong to consider that the intervention of physicists in the patient management process is limited to the provision of calibrated and controlled equipment and to guarantee the validity of the dose distribution and the treatment time, while the radiation oncologist has the complete control of all clinical activities related to irradiation. The intervention of physicists at the stage of acquisition of anatomical data and throughout the phase of optimization of the treatment is already a reality. The recognition of the profession of medical physicist as a health profession comes to legitimize this intervention. Should physician-physicist cooperation be limited to these common tasks and participation in continuing care? Can we consider a true synergy of action that goes beyond the field of care? The answer to the question: "what does the radiation oncologist expect from the physicist and inversely?" may bring elements to reinforce tomorrow's cooperation.
[Mh] Termos MeSH primário: Física Sanitária
Comunicação Interdisciplinar
Radioterapia (Especialidade)
Radiologia
Radioterapia
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE


  4 / 1961 MEDLINE  
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[PMID]:28542012
[Au] Autor:Shimizu Y; Iida H; Nenoi M
[Ad] Endereço:*Human Resources Development Center, National Institute of Radiological Sciences, National Institute for Quantum and Radiological Science and Technology, 4-9-1, Anagawa, Inage-ku Chiba 263-8555, Japan.
[Ti] Título:Trends of Training Courses Conducted in the Human Resources Development Center of the National Institute for Quantum and Radiological Science and Technology After the Fukushima Dai-Ichi Nuclear Power Plant Accident.
[So] Source:Health Phys;113(1):66-70, 2017 Jul.
[Is] ISSN:1538-5159
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Environmental contamination with radioactive materials caused by the Fukushima Dai-ichi Nuclear Power Plant (NPP) accident in 2011 raised a serious health concern among residents in Japan, and the demand for radiation experts who can handle the radiation-associated problems has increased. The Human Resources Development Center (HRDC) of the National Institute of for Quantum and Radiological Science and Technology in Japan has offered a variety of training programs covering a wide range of technologies associated with radiation since 1959. In this study, the time-course change in the number and age of the applicants for training programs regularly scheduled at HRDC were analyzed to characterize the demand after the NPP accident. The results suggested that the demand for the training of industrial radiation experts elevated sharply after the NPP accident followed by a prompt decrease, and that young people were likely stimulated to learn the basics of radiation. The demand for the training of medical radiation experts was kept high regardless of the NPP accident. The demand for the training of radiation emergency experts fluctuated apparently with three components: a terminating demand after the criticality accident that occurred in 1999, an urgent demand for handling of the NPP accident, and a sustained demand from local governments that undertook reinforcement of their nuclear disaster prevention program. The demand for the training of school students appeared to be increasing after the NPP accident. It could be foreseen that the demand for training programs targeting young people and medical radiation experts would be elevated in future.
[Mh] Termos MeSH primário: Currículo/tendências
Acidente Nuclear de Fukushima
Física Sanitária/educação
Proteção Radiológica
Gestão da Segurança/organização & administração
Desenvolvimento de Pessoal/organização & administração
[Mh] Termos MeSH secundário: Física Sanitária/recursos humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1097/HP.0000000000000669


  5 / 1961 MEDLINE  
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[PMID]:28418815
[Au] Autor:Matsuya Y; Tsujiguchi T; Yamaguchi M; Kimura T; Mori R; Yamada R; Saga R; Fujishima Y; Date H
[Ad] Endereço:a Graduate School of Health Sciences, Hokkaido University, Kita-12, Nishi-5, Kita-ku, Sapporo 060-0812, Japan.
[Ti] Título:Educational Activity for the Radiation Emergency System in the Northern Part of Japan: Meeting Report on "The 3rd Educational Symposium on Radiation and Health (ESRAH) by Young Scientists in 2016".
[So] Source:Radiat Res;187(6):641-646, 2017 Jun.
[Is] ISSN:1938-5404
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In the northern part of Japan, close cooperation is essential in preparing for any possible emergency response to radiation accidents because several facilities, such as the Low-Level Radioactive Waste Disposal Facility, the MOX Fuel Fabrication Plant and the Vitrified Waste Storage Center, exist in Rokkasho Village (Aomori Prefecture). After the accident at Fukushima Daiichi Nuclear Power Plant in 2011, special attention should be given to the relationship between radiation and human health, as well as establishing a system for managing with a radiation emergency. In the area of Hokkaido and Aomori prefectures in Japan, since 2008 an exchange meeting between Hokkaido University and Hirosaki University has been held every year to have opportunities to discuss radiation effects on human health and to collect the latest news on monitoring environmental radiation. This meeting was elevated to an international meeting in 2014 titled "Educational Symposium on Radiation and Health (ESRAH) by Young Scientists". The 3rd ESRAH meeting took place in 2016, with the theme "Investigating Radiation Impact on the Environmental and Health". Here we report the meeting findings on the continuing educational efforts after the Fukushima incident, what was accomplished in terms of building a community educational approaches, and future goals.
[Mh] Termos MeSH primário: Planejamento em Desastres/organização & administração
Educação Continuada/organização & administração
Física Sanitária/educação
Proteção Radiológica
Liberação Nociva de Radioativos
Gestão da Segurança/organização & administração
[Mh] Termos MeSH secundário: Currículo
Japão
[Pt] Tipo de publicação:CONGRESSES
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE
[do] DOI:10.1667/RR14756.1


  6 / 1961 MEDLINE  
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[PMID]:28410688
[Au] Autor:Mahdavi SR; Rasuli B; Niroomand-Rad A
[Ad] Endereço:Department of Medical Physics, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
[Ti] Título:Education and training of medical physics in Iran: The past, the present and the future.
[So] Source:Phys Med;36:66-72, 2017 Apr.
[Is] ISSN:1724-191X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The aim of this study was to investigate the current status of education and training programs in medical physics in Iran. METHODS: A questionnaire was designed and sent to 274 IAMP (Iranian Association of Medical Physicists) members focusing on these two topics: the educational situation (course syllabus, number of faculty members, number of PhD and MSc students and sub-fields offered in the department) and the professional situation (work experience, workplaces of medical physicists, postgraduate degrees that were granted and the amount of therapy and imaging equipment). RESULTS: Medical physics education in Iran is provided at 14 universities at master and doctorate levels. All medical physics departments offer an MSc program and 6 of them offer a PhD program. Most medical physics faculty (24%) work in the radiotherapy physics sub-specialty. Also, about 95 medical physics students graduate every year. There are six major peer-reviewed Iranian journals that publish medical physics papers in English. In addition, there are 74 radiotherapy machines including Co-60 and LINACs (LINear ACcelerators) across Iran as of 2013. CONCLUSIONS: The curriculum of medical physics programs (MSc and PhD) in Iran must be improved to include long-term clinical courses in the four major sub-specialties of radiotherapy, medical imaging, nuclear medicine and radiation protection. It is hoped that clinical medical physicists will go through nationally-accredited exams before assuming independent clinical responsibilities. Moreover, the work situation of the medical physics profession in Iran should be clear and the government authorities must recognize importance of this interdisciplinary field in medicine.
[Mh] Termos MeSH primário: Educação Médica/estatística & dados numéricos
Física Sanitária/educação
[Mh] Termos MeSH secundário: Irã (Geográfico)
Inquéritos e Questionários
Universidades
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170427
[Lr] Data última revisão:
170427
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170416
[St] Status:MEDLINE


  7 / 1961 MEDLINE  
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[PMID]:28406747
[Au] Autor:Hall EJ
[Ad] Endereço:Center for Radiological Research, Columbia University, New York.
[Ti] Título:100 Years of Radiation Research in the Footsteps of Failla.
[So] Source:Radiat Res;187(4):406-412, 2017 Apr.
[Is] ISSN:1938-5404
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Gioacchino Failla was initially appointed to operate the radon plant at Memorial Hospital in 1916. What to most people would have been a part-time temporary position was to him a career. He was not satisfied to simply fabricate radon seeds, he wanted to understand the physics and biology of the radiation emitted by the progeny of radium. His was not the first medical physics group in the United States, though it was one of the earliest, but it was the first to put such emphasis on the biological effects. After more than 28 years at Memorial Hospital, Failla moved his research group to Columbia University Medical Center and his pioneering work, blending physics and biology, has continued to date at Columbia by those that he trained or inspired, under three directors that followed him.
[Mh] Termos MeSH primário: Biofísica/história
Biofísica/métodos
Física Sanitária/história
Física Sanitária/métodos
[Mh] Termos MeSH secundário: História do Século XX
História do Século XXI
Seres Humanos
Radônio/química
Radônio/uso terapêutico
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Nm] Nome de substância:
Q74S4N8N1G (Radon)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170414
[Lr] Data última revisão:
170414
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1667/RR001CC.1


  8 / 1961 MEDLINE  
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[PMID]:28366572
[Au] Autor:Adleman J; Gillan C; Caissie A; Davis CA; Liszewski B; McNiven A; Giuliani M
[Ad] Endereço:Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada.
[Ti] Título:Development of a Quality and Safety Competency Curriculum for Radiation Oncology Residency: An International Delphi Study.
[So] Source:Int J Radiat Oncol Biol Phys;98(2):428-437, 2017 Jun 01.
[Is] ISSN:1879-355X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To develop an entry-to-practice quality and safety competency profile for radiation oncology residency. METHODS AND MATERIALS: A comprehensive list of potential quality and safety competency items was generated from public and professional resources and interprofessional focus groups. Redundant or out-of-scope items were eliminated through investigator consensus. Remaining items were subjected to an international 2-round modified Delphi process involving experts in radiation oncology, radiation therapy, and medical physics. During Round 1, each item was scored independently on a 9-point Likert scale indicating appropriateness for inclusion in the competency profile. Items indistinctly ranked for inclusion or exclusion were re-evaluated through web conference discussion and reranked in Round 2. RESULTS: An initial 1211 items were compiled from 32 international sources and distilled to 105 unique potential quality and safety competency items. Fifteen of the 50 invited experts participated in round 1: 10 radiation oncologists, 4 radiation therapists, and 1 medical physicist from 13 centers in 5 countries. Round 1 rankings resulted in 80 items included, 1 item excluded, and 24 items indeterminate. Two areas emerged more prominently within the latter group: change management and human factors. Web conference with 5 participants resulted in 9 of these 24 items edited for content or clarity. In Round 2, 12 participants rescored all indeterminate items resulting in 10 items ranked for inclusion. The final 90 enabling competency items were organized into thematic groups consisting of 18 key competencies under headings adapted from Deming's System of Profound Knowledge. CONCLUSIONS: This quality and safety competency profile may inform minimum training standards for radiation oncology residency programs.
[Mh] Termos MeSH primário: Competência Clínica
Técnica Delfos
Internato e Residência
Desenvolvimento de Programas
Radioterapia (Especialidade)/educação
[Mh] Termos MeSH secundário: Austrália
Canadá
Consenso
Currículo
Dinamarca
Ergonomia
Feminino
Grupos Focais
Física Sanitária
Seres Humanos
Cooperação Internacional
Internato e Residência/normas
Masculino
Nova Zelândia
Segurança do Paciente
Guias de Prática Clínica como Assunto
Radioterapia (Especialidade)/normas
Radioterapia (Especialidade)/estatística & dados numéricos
Segurança
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE


  9 / 1961 MEDLINE  
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[PMID]:28328309
[Au] Autor:Joiner MC; Tracey MW; Kacin SE; Burmeister JW
[Ad] Endereço:a School of Medicine, Wayne State University, Detroit, Michigan 48201.
[Ti] Título:IBPRO - A Novel Short-Duration Teaching Course in Advanced Physics and Biology Underlying Cancer Radiotherapy.
[So] Source:Radiat Res;187(6):637-640, 2017 Jun.
[Is] ISSN:1938-5404
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article provides a summary and status report of the ongoing advanced education program IBPRO - Integrated course in Biology and Physics of Radiation Oncology. IBPRO is a five-year program funded by NCI. It addresses the recognized deficiency in the number of mentors available who have the required knowledge and skill to provide the teaching and training that is required for future radiation oncologists and researchers in radiation sciences. Each year, IBPRO brings together 50 attendees typically at assistant professor level and upwards, who are already qualified/certified radiation oncologists, medical physicists or biologists. These attendees receive keynote lectures and activities based on active learning strategies, merging together the clinical, biological and physics underpinnings of radiation oncology, at the forefront of the field. This experience is aimed at increasing collaborations, raising the level and amount of basic and applied research undertaken in radiation oncology, and enabling attendees to confidently become involved in the future teaching and training of researchers and radiation oncologists.
[Mh] Termos MeSH primário: Currículo
Docentes/educação
Física Sanitária/educação
Radioterapia (Especialidade)/educação
Radioterapia
Capacitação de Professores/organização & administração
[Mh] Termos MeSH secundário: Michigan
Proteção Radiológica
Gestão da Segurança
Ensino/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170827
[Lr] Data última revisão:
170827
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE
[do] DOI:10.1667/RR14723.1


  10 / 1961 MEDLINE  
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[PMID]:28299628
[Au] Autor:Uno Y
[Ad] Endereço:Office Uno Column, 419-2, Yota, Onoe-Cho, Kakogawa, Hyogo, 675-0025, Japan. yoshiharu333@hotmail.com.
[Ti] Título:Management of colon stents based on Bernoulli's principle.
[So] Source:Indian J Gastroenterol;36(2):69-74, 2017 Mar.
[Is] ISSN:0975-0711
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIMS: The colonic self-expanding metal stent (SEMS) has been widely used for "bridge to surgery" and palliative therapy. However, if the spread of SEMS is insufficient, not only can a decompression effect not be obtained but also perforation and obstructive colitis can occur. The mechanism of occurrence of obstructive colitis and perforation was investigated by flow dynamics. METHODS: Bernoulli's principle was applied, assuming that the cause of inflammation and perforation represented the pressure difference in the proximal lumen and stent. The variables considered were proximal lumen diameter, stent lumen diameter, flow rate into the proximal lumen, and fluid density. To model the right colon, the proximal lumen diameter was set at 50 mm. To model the left-side colon, the proximal lumen diameter was set at 30 mm. RESULTS: For both the right colon model and the left-side colon model, the difference in pressure between the proximal lumen and the stent was less than 20 mmHg, when the diameter of the stent lumen was 14 mm or more. Both the right colon model and the left-side colon model were 30 mmHg or more at 200 mL s when the stent lumen was 10 mm or less. Even with an inflow rate of 90-110 mL s , the pressure was 140 mmHg when the stent lumen diameter was 5 mm. CONCLUSION: In theory, in order to maintain the effectiveness of SEMS, it is necessary to keep the diameter of the stent lumen at 14 mm or more.
[Mh] Termos MeSH primário: Colite/etiologia
Descompressão
Física Sanitária
Obstrução Intestinal/etiologia
Perfuração Intestinal/etiologia
Pressão/efeitos adversos
Stents/efeitos adversos
[Mh] Termos MeSH secundário: Colite/prevenção & controle
Seres Humanos
Obstrução Intestinal/prevenção & controle
Perfuração Intestinal/prevenção & controle
Metais
Modelos Anatômicos
Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Metals)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171110
[Lr] Data última revisão:
171110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE
[do] DOI:10.1007/s12664-017-0734-8



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