Base de dados : MEDLINE
Pesquisa : M01.526.485.810.758 [Categoria DeCS]
Referências encontradas : 232 [refinar]
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[PMID]:29419388
[Au] Autor:Ladher N; Godlee F
[Ad] Endereço:The BMJ, London, UK nladher@bmj.com.
[Ti] Título:Criminalising doctors.
[So] Source:BMJ;360:k479, 2018 02 01.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência à Saúde/legislação & jurisprudência
Política de Saúde/legislação & jurisprudência
Imperícia/legislação & jurisprudência
Sepse/complicações
[Mh] Termos MeSH secundário: Criança
Direito Penal/ética
Assistência à Saúde/normas
Evolução Fatal
Seres Humanos
Masculino
Pediatras
Médicos
Qualidade da Assistência à Saúde/normas
Sepse/mortalidade
[Pt] Tipo de publicação:CASE REPORTS; EDITORIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.k479


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[PMID]:29395041
[Au] Autor:Bertrand A; Favier B; Devaux Y; Goy F; Marcault-Derouard A; Veyet V; Cervos M; Schell M
[Ad] Endereço:Centre Léon-Bérard, hospitalisation à domicile pédiatrique, IHOPe, 1, place du Pr-J.-Renaut, 69373 Lyon cedex 08, France. Electronic address: amandine.bertrand@ihope.fr.
[Ti] Título:[Intravenous chemotherapy at home: A pediatric monocentric experience].
[Ti] Título:Chimiothérapie intraveineuse à domicile en cancérologie pédiatrique : une expérience monocentrique..
[So] Source:Bull Cancer;105(2):155-161, 2018 Feb.
[Is] ISSN:1769-6917
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:INTRODUCTION: Our home care unit (HCU) developed the administration of IV chemotherapy at home for some pediatric oncologic patients. METHODS: We conducted a retrospective monocentric analysis, leading to identify patients with at least one sequence of chemotherapy at home in 2015. RESULTS: Two hundred and forty four sequences of home chemotherapy have been administered in 2015. We identified two situations for home IV chemotherapy. Pediatric oncologist of day hospital prescribes the sequence. The chemotherapy is delivered at hospital for the first day. HCU takes over for the next days at home. For a sequence replacing a conventional hospitalization, the attending physician examines the patient, and confirm the clinical validation. The pediatric oncologist of HCU checks lab exams, and prescribes the chemotherapy. For both situations, IV chemotherapy is prepared by our hospital pharmacy, delivers at home or at day hospital, and HCU team manages home material and organizes hospitalization. CONCLUSIONS: This kind of organization allows setting up home IV CT for more and more patients. It allows to limit daily hospitalization for some patients living far from the hospital, and whose therapies lead to several hospitalizations.
[Mh] Termos MeSH primário: Antineoplásicos/administração & dosagem
Serviços Hospitalares de Assistência Domiciliar/organização & administração
Neoplasias/tratamento farmacológico
[Mh] Termos MeSH secundário: Antineoplásicos/uso terapêutico
Criança
Citarabina/administração & dosagem
Neoplasias Oculares/tratamento farmacológico
Feminino
Glioma/tratamento farmacológico
Acesso aos Serviços de Saúde
Neoplasias Hematológicas/tratamento farmacológico
Seres Humanos
Injeções Intravenosas/estatística & dados numéricos
Masculino
Enfermagem Oncológica
Enfermagem Pediátrica
Pediatras
Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico
Estudos Retrospectivos
Fatores de Tempo
Vimblastina/administração & dosagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antineoplastic Agents); 04079A1RDZ (Cytarabine); 5V9KLZ54CY (Vinblastine)
[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:180204
[St] Status:MEDLINE


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[PMID]:28466623
[Au] Autor:Hidas G; Ben Chaim J; Udassin R; Graeb M; Gofrit ON; Zisk-Rony RY; Pode D; Duvdevani M; Yutkin V; Neheman A; Fruman A; Arbel D; Kopuler V; Armon Y; Landau EH
[Ad] Endereço:Pediatric Urology Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
[Ti] Título:Timing of Orchidopexy for Undescended Testis in Israel: A Quality of Care Study.
[So] Source:Isr Med Assoc J;18(11):697-700, 2016 Nov.
[Is] ISSN:1565-1088
[Cp] País de publicação:Israel
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Strong evidence suggests that in order to prevent irreversible testicular damage surgical correction (orchidopexy) for undescended testis (UDT) should be performed before the age of 1 year. OBJECTIVES: To evaluate whether orchidopexy is delayed in our medical system, and if so, to explore the pattern of referral for orchidopexy as a possible contributing factor in such delays. METHODS: We conducted a retrospective chart review of all children who underwent orchidopexy for UDT between 2003 and 2013 in our institution. We collected data on the age at surgery and the child's health insurance plan. We also surveyed pediatricians from around the country regarding their pattern of UDT patient referral to a pediatric urologist or surgeon for surgical correction. RESULTS: A total of 813 children underwent orchidopexy in our institute during the study period. The median age at surgery was 1.49 years (range 0.5-13). Only 11% of the children underwent surgery under the age of 1 year, and 53% between the ages of 1 and 2 years. These findings were consistent throughout the years, with no difference between the four health insurance plans. Sixty-three pediatricians who participated in the survey reported that they referred children to surgery at a median age of 1 year (range 0.5-3 years). CONCLUSIONS: Our results demonstrate delayed orchidopexy in our medical system. There is a need to improve awareness for early specialist consultation in order to facilitate earlier surgery and better care.
[Mh] Termos MeSH primário: Criptorquidismo/cirurgia
Orquidopexia/métodos
Padrões de Prática Médica/estatística & dados numéricos
Encaminhamento e Consulta/estatística & dados numéricos
[Mh] Termos MeSH secundário: Fatores Etários
Seres Humanos
Lactente
Israel
Masculino
Pediatras/normas
Pediatras/estatística & dados numéricos
Padrões de Prática Médica/normas
Qualidade da Assistência à Saúde
Estudos Retrospectivos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE


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[PMID]:28466614
[Au] Autor:Leitner Y; Mitelpunkt A; Posner I; Vardi N
[Ad] Endereço:Child Development Center, Dana-Dwek Childrens' Hospital, Tel Aviv Sourasky Medical Center, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
[Ti] Título:Do You See It My Way? The Clinical Evaluation of ADHD by the Different Pediatric Subspecialties.
[So] Source:Isr Med Assoc J;18(11):661-664, 2016 Nov.
[Is] ISSN:1565-1088
[Cp] País de publicação:Israel
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Six medical disciplines are responsible for assessment, diagnosis and treatment of people with attention deficiency hyperactivity disorder (ADHD) in Israel: family doctors, pediatricians, adult and child neurologists, adult and child psychiatrists. OBJECTIVES: To investigate differences in ADHD diagnostic practices between three different pediatric subspecialties in the clinical setting in order to establish a common ground for a future unified approach. METHODS: An anonymous web-based questionnaire was administered to child psychiatrists, pediatric neurologists and general pediatricians who are actively involved in ADHD diagnosis (n=104). RESULTS: Neurologists and pediatricians rarely use the mental status examination, while psychiatrists rarely perform a neurological or physical examination (P < 0.0001). A general clinical impression of learning abilities and/or neurodevelopmental skills was implemented more often by pediatric neurologists (P < 0.04). CONCLUSIONS: The significant differences found between the three medical specialties with regard to the clinical evaluation of ADHD could be attributed, at least in part, to the ambiguity of available guidelines concerning the clinical examination, and to the adherence of each specialty to its own "skills." Larger surveys in other countries should be considered and an effort made to create a common, "inter-disciplinary" ground on this important part of ADHD evaluation, differential diagnosis, and research.
[Mh] Termos MeSH primário: Transtorno do Deficit de Atenção com Hiperatividade/terapia
Pediatria/estatística & dados numéricos
Guias de Prática Clínica como Assunto
Padrões de Prática Médica/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico
Competência Clínica
Feminino
Fidelidade a Diretrizes
Pesquisas sobre Serviços de Saúde
Seres Humanos
Internet
Israel
Masculino
Meia-Idade
Neurologistas/estatística & dados numéricos
Pediatras/estatística & dados numéricos
Psiquiatria/estatística & dados numéricos
Especialização/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE


  5 / 232 MEDLINE  
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[PMID]:28455379
[Au] Autor:Creery A
[Ti] Título:Robert Desmond Gibson Creery.
[So] Source:BMJ;357:j2036, 2017 04 28.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Pediatras/história
[Mh] Termos MeSH secundário: História do Século XX
Seres Humanos
Hipercalcemia
Doença Iatrogênica
Doenças Metabólicas
Medicina Naval/história
Reino Unido
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Creery RDG
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j2036


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[PMID]:29074609
[Au] Autor:Keenan HT; Cook LJ; Olson LM; Bardsley T; Campbell KA
[Ad] Endereço:Department of Pediatrics, University of Utah, Salt Lake City, Utah heather.keenan@hsc.utah.edu.
[Ti] Título:Social Intuition and Social Information in Physical Child Abuse Evaluation and Diagnosis.
[So] Source:Pediatrics;140(5), 2017 Nov.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Poor and minority children with injuries concerning for abuse are evaluated and diagnosed for abuse differentially. We hypothesized that 2 steps in the decision-making process would influence evaluation and diagnosis: social intuition from meeting the family and objective social information associated with child abuse risk. METHODS: Between 2009 and 2013, 32 child abuse pediatricians (CAPs) submitted 730 child abuse consultations including original medical evaluations and diagnoses. CAPs evaluated and diagnosed each other's cases. Comparisons of evaluations and diagnoses were made by levels of social understanding available to the CAP: meeting the family (social intuition and information), reading the case (social information), and reading the case without social information. Evaluations were compared with a consensus gold standard by using logistic regression modeling adjusting for child and CAP characteristics. Diagnostic categories were compared by level of social understanding and diagnostic certainty by using contingency tables. RESULTS: CAPs without access to social intuition were approximately twice as likely to perform gold standard evaluations for neurotrauma and long bone fracture compared with CAPs who met families. Diagnostic agreement fell from 73.3% (95% confidence interval [CI]: 70.1%-76.5%) when social information was present to 66.5% (95% CI: 63.1%-70.0%) when social information was restricted. In cases with less certainty, agreement dropped to 51.3% (95% CI: 46.0%-56.7%). CONCLUSIONS: Social intuition and information play a role in the physical child abuse decision-making process, which may contribute to differential diagnosis. Simple interventions including decision tools, check lists, and peer review may structure evaluations to ensure children's equal treatment.
[Mh] Termos MeSH primário: Maus-Tratos Infantis/prevenção & controle
Maus-Tratos Infantis/psicologia
Relações Interpessoais
Intuição
Pediatras/psicologia
Pediatras/normas
[Mh] Termos MeSH secundário: Criança
Maus-Tratos Infantis/economia
Diagnóstico Diferencial
Feminino
Seres Humanos
Masculino
Relações Médico-Paciente
Pobreza/economia
Pobreza/psicologia
Encaminhamento e Consulta/normas
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171028
[St] Status:MEDLINE


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[PMID]:29069036
[Au] Autor:Marginean CO; Melit LE; Chincesan M; Muresan S; Georgescu AM; Suciu N; Pop A; Azamfirei L
[Ad] Endereço:aDepartment of Pediatrics bDepartment of Physiology cDepartment of Infectious Disease dDepartment of International Projects eDepartment of Langueges fDepartment of Anesthesiology, University of Medicine and Pharmacy Tîrgu Mures, Tirgu Mure, Romania.
[Ti] Título:Communication skills in pediatrics - the relationship between pediatrician and child.
[So] Source:Medicine (Baltimore);96(43):e8399, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Interpersonal and communication skills are 2 essential qualities of every physician. These are separate and distinct parts of the professional character of every physician. In pediatrics these abilities present even a higher impact.We performed a survey-type prospective study based on questionnaires on 100 subjects, equally divided into 4 groups: 25 children, 25 pediatricians, 25 care-givers (parents, tutors, and relatives), and 25 health care staff, in a Tertiary Pediatric Clinic from Romania, between January 2017 and April 2017.We included 100 participants in our study, equally divided into 4 groups: pediatric patients, pediatricians, care-givers, and health care staff. The 1st group comprised 25 children diagnosed with different chronic conditions, presenting the age between 5 and 14 years. The male gender predominated among the children (57%). The lowest general average score for "Communication" section was encountered among pediatricians group, 3.8, while the other 3 groups presented the same average score for this section, that is, 4.6. The children and the health care staff offered the same average score for "Transparency," that is, 4.6, while the pediatricians offered a score of 4.5, and the care-givers of 4.7. The lowest average score for the item "Hospital environment" was given by the doctors, that is, 3.3, followed by care-givers with a score of 3.6, health care staff 3.7, and children with an average score of 3.8. All the 4 groups included in the study offered a general average of 4.9 out of 5 for the "Intercultural issues" section. The lowest average score for "Time management" section was offered by both children and pediatricians, that is, 4.1, while care-givers and health care staff had a slightly better perception regarding this item, offering 4.2 and 4.3, respectively.The opinion among the 4 groups included in the study was generally similar regarding the 5 items assessed by our questionnaires. Therefore, the main aspects that need to be improved in the health care system in downward order are the following: hospital environment, time management, communication, transparency, and intercultural issues.
[Mh] Termos MeSH primário: Cuidadores/psicologia
Comunicação
Pessoal de Saúde/psicologia
Pediatras/psicologia
Relações Médico-Paciente
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Romênia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008399


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[PMID]:28947607
[Au] Autor:Earnshaw VA; Reisner SL; Juvonen J; Hatzenbuehler ML; Perrotti J; Schuster MA
[Ad] Endereço:Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts; valerie.earnshaw@gmail.com.
[Ti] Título:LGBTQ Bullying: Translating Research to Action in Pediatrics.
[So] Source:Pediatrics;140(4), 2017 Oct.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth experience significant bullying that undermines their mental and physical health. National health organizations have called for the development of innovative strategies to address LGBTQ bullying. Pediatricians and other clinicians, medical and public health students, interdisciplinary researchers, government officials, school leaders, community members, parents, and youth from around the country came together at a national symposium entitled "LGBTQ Bullying: Translating Research to Action to Improve the Health of All Youth" in May 2016 to generate strategies to prevent LGBTQ bullying and meet the needs of LGBTQ youth experiencing bullying. This article describes key scientific findings on bullying, LGBTQ stigma, and LGBTQ bullying interventions that were shared at the symposium and provides recommendations for pediatricians to address LGBTQ bullying via clinical care, research, interventions, and policy. Symposium participants recommended that pediatricians engage in efforts to foster inclusive and affirming health care environments wherein LGBTQ youth feel comfortable discussing their identities and experiences, identify youth experiencing LGBTQ bullying, and prevent the negative health consequences of bullying among youth. Moreover, pediatricians can attend to how multiple identities (eg, sexual orientation, gender identity, race and/or ethnicity, disability, and others) shape youth experiences of bullying and expand intervention efforts to address LGBTQ bullying in health care settings. Pediatricians can further advocate for evidence-based, antibullying policies prohibiting bullying on the basis of sexual orientation and gender identity. Collaboration between pediatricians and diverse stakeholders can contribute to the development and implementation of lasting change in all forms of bullying, including LGBTQ bullying.
[Mh] Termos MeSH primário: Bullying/prevenção & controle
Pediatras
Papel do Médico
Minorias Sexuais e de Gênero/psicologia
Sexualidade/psicologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Defesa da Criança e do Adolescente
Política de Saúde
Seres Humanos
Defesa do Paciente
Pediatria/métodos
Relações Médico-Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170927
[St] Status:MEDLINE


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[PMID]:28924062
[Au] Autor:Feldman-Winter L; Szucs K; Milano A; Gottschlich E; Sisk B; Schanler RJ
[Ad] Endereço:Department of Pediatrics, Children's Regional Hospital, Cooper University Health Care, Cooper Medical School, Rowan University, Camden, New Jersey; winter-lori@cooperhealth.edu.
[Ti] Título:National Trends in Pediatricians' Practices and Attitudes About Breastfeeding: 1995 to 2014.
[So] Source:Pediatrics;140(4), 2017 Oct.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVES: The American Academy of Pediatrics (AAP) has affirmed breastfeeding as the preferred method of infant feeding; however, there has been little systematic examination of how pediatricians' recommendations, affiliated hospitals' policies, counseling practices, and attitudes toward breastfeeding have shifted over the past 2 decades. These trends were examined from 1995 to 2014. METHODS: Data are from the Periodic Survey (PS) of Fellows, a nationally representative survey of AAP members. PS #30 (1995; response rate = 72%; = 832), PS #57 (2004; response rate = 55%; = 675), and PS #89 (2014; response rate = 51%; = 620) collected demographics, patient and practice characteristics, and detailed responses on pediatricians' recommendations, affiliated hospitals' policies, counseling practices, and attitudes toward breastfeeding. By using bivariate statistics and logistic regression models, the analysis investigated changes over time with predicted values (PVs). RESULTS: From 1995 to 2014, more pediatricians reported their affiliated hospitals applied for "baby-friendly" designation (PV = 12% in 1995, PV = 56% in 2014; < .05), and more reported that they recommend exclusive breastfeeding (65% to 76% [ < .05]). However, fewer respondents indicated that mothers can be successful breastfeeding (PV = 70% in 1995, PV = 57% in 2014; < .05) and that the benefits outweigh the difficulties (PV = 70% in 1995, PV = 50% in 2014; < .05). Younger pediatricians were less confident than older pediatricians in managing breastfeeding problems ( < .01). CONCLUSIONS: Pediatricians' recommendations and practices became more closely aligned with AAP policy from 1995 to 2014; however, their attitudes about the likelihood of breastfeeding success have worsened. These 2 divergent trends indicate that even as breastfeeding rates continue to rise, continued efforts to enhance pediatricians' training and attitudes about breastfeeding are necessary.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Aleitamento Materno
Pediatras
Padrões de Prática Médica/tendências
[Mh] Termos MeSH secundário: Adulto
Aconselhamento à Distância/estatística & dados numéricos
Aconselhamento à Distância/tendências
Feminino
Pesquisas sobre Serviços de Saúde
Hospitais
Seres Humanos
Lactente
Recém-Nascido
Modelos Logísticos
Masculino
Meia-Idade
Política Organizacional
Padrões de Prática Médica/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171112
[Lr] Data última revisão:
171112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170920
[St] Status:MEDLINE


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[PMID]:28924061
[Au] Autor:Meek JY
[Ad] Endereço:College of Medicine, Florida State University, Tallahassee, Florida joan.meek@med.fsu.edu.
[Ti] Título:Pediatrician Competency in Breastfeeding Support Has Room for Improvement.
[So] Source:Pediatrics;140(4), 2017 10.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Aleitamento Materno
Pediatras
[Mh] Termos MeSH secundário: Competência Clínica
Feminino
Seres Humanos
Cuidado Pós-Natal
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170920
[St] Status:MEDLINE



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