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[PMID]:29231005
[Au] Autor:He JF; Hong W; Shao Y; Han HQ; Xie B
[Ad] Endereço:Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China.
[Ti] Título:[Application of MOAS for Evaluating of Violence Risk in the Inpatients with Mental Disorders].
[So] Source:Fa Yi Xue Za Zhi;33(1):28-31, 2017 Feb.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVES: To explore the value of Modified Overt Aggression Scale (MOAS) on predicting serious aggressive behavior in the inpatients with mental disorders and to provide theoretical basis for violence risk assessments in the inpatients with mental disorders. METHODS: Total 918 inpatients in a psychiatric hospital were evaluated by trained medical workers using MOAS in September 2009, and their serious violent behavior were followed up for 2 years. The value of MOAS on predicting violence in the inpatients with mental disorders was analyzed by SPSS 21.0. RESULTS: (1) Compared to the patients without serious aggressive behaviors, the patients with serious aggressive behavior within 2 years showed significantly higher scores (P<0.05) on verbal aggression, aggression against property, physical aggression and total weighted score of MOAS; (2) Significant correlation was found between the score of verbal aggression and the serious acts of violence within 2 years (P<0.05); (3) Scores of verbal aggression, physical aggression and total weighted score of MOAS had predictive value on serious aggressive behaviors within 2 years. CONCLUSIONS: MOAS has certain value on predicting the serious aggressive behaviors of patients with mental disorders within 2 years.
[Mh] Termos MeSH primário: Agressão/psicologia
Hospitais Psiquiátricos
Pacientes Internados
Transtornos Mentais/psicologia
Violência/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Indicadores Básicos de Saúde
Seres Humanos
Masculino
Transtornos Mentais/diagnóstico
Escalas de Graduação Psiquiátrica
Medição de Risco
Fatores de Risco
Assunção de Riscos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2017.01.007


  2 / 20315 MEDLINE  
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[PMID]:29179833
[Au] Autor:Aagaard J; Tuszewski B; Kølbæk P
[Ad] Endereço:Aarhus University Hospital, Risskov DK-8240, Denmark; Aalborg University Hospital, Psychiatric Hospital, Center for Psychosis Research, Aalborg DK-9000, Denmark. Electronic address: joaa@rn.dk.
[Ti] Título:Does Assertive Community Treatment Reduce the Use of Compulsory Admissions?
[So] Source:Arch Psychiatr Nurs;31(6):641-646, 2017 12.
[Is] ISSN:1532-8228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The growing number of compulsory admissions in Denmark and other countries is a compelling challenge. We hypothesized that Assertive Community Treatment (ACT) may have the quality to reduce the use of several type of coercion including compulsory admissions. Although ACT is not designed for coercion prevention, it may prove efficient in averting major crisis among the included patients. Studies in Denmark showed that ACT has a major and significant advantage in reducing number and length of admissions. METHODS/DESIGN: We collected service data from National Case Register at three psychiatric hospitals, which constitutes the inpatient and outpatient mental health services in the North Denmark Region. Data included psychiatric and somatic service use among 240 patients starting in ACT. Primary measure concerned the extent to which ACT might reduce compulsory admissions. RESULTS: During a five years period patients allocated to ACT show decreasing admission trends. In comparison with all other psychiatric service users, we found a significant difference in trends concerning voluntary admissions and involuntary admissions according to the dangerous criterion, and decrease in number of contacts to Psychiatric Emergency Room (PER) CONCLUSION: An assertive approach undoubtedly reduces hospitalization including some involuntary admissions. ACT is preferable from both team and patient perspectives, and further caused reduction of PER visits compared to standard treatment. PERSPECTIVES: The criterion of Severe Mental Illness (SMI) may be revised to facilitate ACT to be offered to a larger group of SMI patients. In addition, introduction of Crisis Intervention Teams should be considered and allocated to PER.
[Mh] Termos MeSH primário: Coerção
Internação Compulsória de Doente Mental/estatística & dados numéricos
Serviços Comunitários de Saúde Mental/utilização
Transtornos Mentais/terapia
[Mh] Termos MeSH secundário: Adulto
Serviços Comunitários de Saúde Mental/estatística & dados numéricos
Intervenção na Crise/métodos
Dinamarca
Feminino
Hospitais Psiquiátricos
Seres Humanos
Pacientes Internados/estatística & dados numéricos
Masculino
Transtornos Mentais/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  3 / 20315 MEDLINE  
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[PMID]:29369274
[Au] Autor:Tylus-Earl N; Jones J
[Ad] Endereço:In San Diego, Calif., Nancy Tylus-Earl is clinical lead at Sharp Healthcare and adjunct faculty at the University of San Diego and at Azusa Pacific University. Jennifer Jones, formerly a clinical nurse at Sharp, is now in the postgraduate psychiatric mental health NP residency program at the San Francisco VA Health Care System.
[Ti] Título:Motivational interviewing for patients with mood disorders.
[So] Source:Nursing;48(2):18-20, 2018 Feb.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos do Humor/enfermagem
Entrevista Motivacional
Recursos Humanos de Enfermagem no Hospital/psicologia
Enfermagem Psiquiátrica
[Mh] Termos MeSH secundário: California
Comunicação
Hospitais Psiquiátricos
Seres Humanos
Relações Enfermeiro-Paciente
Pesquisa em Avaliação de Enfermagem
Recursos Humanos de Enfermagem no Hospital/educação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000527613.60279.62


  4 / 20315 MEDLINE  
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[PMID]:28460285
[Au] Autor:Rheker J; Beisel S; Kräling S; Rief W
[Ad] Endereço:Division of Clinical Psychology and Psychotherapy, Department of Psychology, Philipps-University Marburg, Germany. Electronic address: julia.rheker@staff.uni-marburg.de.
[Ti] Título:Rate and predictors of negative effects of psychotherapy in psychiatric and psychosomatic inpatients.
[So] Source:Psychiatry Res;254:143-150, 2017 Aug.
[Is] ISSN:1872-7123
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:Studies examining the rates of negative effects of psychotherapy are rare and the reported rates differ widely. To be able to calculate adequate benefit-cost ratios in conjunction with different samples and settings, we need a deeper understanding of these effects. We therefore investigated whether different treatment settings would reveal varying rates and kinds of negative effects by recruiting patients from a psychiatric (n=93) and a psychosomatic rehabilitation (n=63) hospital. Negative effects of psychotherapy were assessed with the Inventory for the Assessment of Negative Effects of Psychotherapy post-treatment. To investigate whether patients' pre-treatment expectations have an influence on reported negative effects, patients filled in the Patient Questionnaire on Therapy Expectation and Evaluation prior to treatment begin. Patients from the psychiatric hospital reported an average 1.41 negative effects, with 58.7% reporting at least one negative effect. Those from the psychosomatic hospital reported 0.76 negative effects on average, with 45.2% of patients reporting at least one negative effect. The differences between these samples are significant. The two samples' top three reported types of negative effects are that patients had experienced more downs during or just before the end of the therapy, that patients had difficulty making important decisions without the therapist, and that patients were concerned that colleagues or friends might find out about the therapy. A regression analysis revealed that the clinical setting (psychosomatic rehabilitation hospital vs. psychiatric hospital) and expectations in the form of hope of improvement were significant predictors for negative effects of psychotherapy. Our study highlights the need to examine the negative effects of psychotherapy in different settings and samples to better evaluate the benefit-cost ratios of treatments for different patient groups. It also shows that we need guidelines for assessing and reporting negative effects.
[Mh] Termos MeSH primário: Transtornos Mentais/psicologia
Transtornos Mentais/terapia
Transtornos Psicofisiológicos/psicologia
Transtornos Psicofisiológicos/terapia
Psicoterapia/tendências
[Mh] Termos MeSH secundário: Adulto
Feminino
Hospitais Psiquiátricos/tendências
Seres Humanos
Masculino
Transtornos Mentais/diagnóstico
Meia-Idade
Valor Preditivo dos Testes
Transtornos Psicofisiológicos/diagnóstico
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  5 / 20315 MEDLINE  
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[PMID]:29264898
[Au] Autor:Arif T; Hassan I; Margoob MA; Anwar P; Shoib S; Akeel S
[Ad] Endereço:Postgraduate department of Dermatology, Sexually Transmitted Diseases, and Leprosy, Government Medical College Srinagar, University of Kashmir, Srinagar, India.
[Ti] Título:Pattern of dermatoses in two groups of admitted psychiatric patients: a cross-sectional study from a tertiary care hospital in Kashmir.
[So] Source:Acta Dermatovenerol Alp Pannonica Adriat;26(4):89-95, 2017 Dec.
[Is] ISSN:1581-2979
[Cp] País de publicação:Slovenia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Various specific and non-specific dermatological manifestations can be found in patients with psychiatric ailments. Most studies in this regard have been conducted on an outpatient basis and not much work has been done on patients admitted with psychiatric diseases. METHODS: This cross-sectional hospital-based study involved two groups of admitted psychiatric patients over a period of 1 year, involving 100 patients in each group. In the family ward group patients were admitted with accompanying family members, whereas in the closed ward group patients were kept under custodial care. RESULTS: In the family ward setting, eczema was the most common finding, observed in 29 patients, followed by atrophic scarring in 28 patients, erythema ab igne in 25 patients, and bacterial infections in five patients. Various forms of nail changes were seen in 18 patients. In the closed ward group, most common dermatological involvement was parasitic infestation, seen in 56 patients, followed by generalized pruritus in 53 patients and atrophic scarring in 52 patients. Thirty-eight patients had nail changes. CONCLUSION: Skin manifestations are more common in chronic neglected psychiatric patients under custodial care. The authors stress upon the importance of familial care provided to psychiatric patients living in custodial settings.
[Mh] Termos MeSH primário: Dermatite/diagnóstico
Transtornos Mentais/diagnóstico
Admissão do Paciente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Comorbidade
Estudos Transversais
Dermatite/epidemiologia
Feminino
Hospitais Psiquiátricos
Seres Humanos
Índia
Masculino
Transtornos Mentais/epidemiologia
Meia-Idade
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


  6 / 20315 MEDLINE  
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[PMID]:29178502
[Au] Autor:Takayama K; Hirayama K; Hirao A; Kondo K; Hayashi H; Kadota K; Asaba H; Ishizu H; Nakata K; Kurisu K; Oshima E; Yokota O; Yamada N; Terada S
[Ad] Endereço:Department of Psychiatry, Kibogaoka Hospital, Tsuyama, Japan.
[Ti] Título:Survival times with and without tube feeding in patients with dementia or psychiatric diseases in Japan.
[So] Source:Psychogeriatrics;17(6):453-459, 2017 Nov.
[Is] ISSN:1479-8301
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: It is widely supposed that there has been no evidence of increased survival in patients with advanced dementia receiving enteral tube feeding. However, more than a few studies have reported no harmful outcome from tube feeding in dementia patients compared to in patients without dementia. METHODS: This was a retrospective study. Nine psychiatric hospitals in Okayama Prefecture participated in this survey. All inpatients fulfilling the entry criteria were evaluated. All subjects suffered from difficulty with oral intake. Attending physicians thought that the patients could not live without long-term artificial nutrition. The physicians decided whether to make use of long-term artificial nutrition between January 2012 and December 2014. RESULTS: We evaluated 185 patients. Their mean age was 76.6 ± 11.4 years. Of all subjects, patients with probable Alzheimer's disease (n = 78) formed the biggest group, schizophrenia patients (n = 44) the second, and those with vascular dementia (n = 30) the third. The median survival times were 711 days for patients with tube feeding and 61 days for patients without tube feeding. In a comparison different types of tube feeding, median survival times were 611 days for patients with a nasogastric tube and more than 1000 days for those with a percutaneous endoscopic gastrostomy tube. CONCLUSION: Patients with tube feeding survived longer than those without tube feeding, even among dementia patients. This study suggests that enteral nutrition for patients with dementia prolongs survival. Additionally, percutaneous endoscopic gastrostomy tube feeding may be safer than nasogastric tube feeding among patients in psychiatric hospitals.
[Mh] Termos MeSH primário: Demência/mortalidade
Demência/terapia
Hospitais Psiquiátricos
Pacientes Internados/estatística & dados numéricos
Intubação Gastrointestinal/métodos
Transtornos Mentais/mortalidade
Transtornos Mentais/terapia
Estado Nutricional
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Demência/diagnóstico
Nutrição Enteral
Feminino
Seres Humanos
Japão/epidemiologia
Assistência de Longa Duração/métodos
Masculino
Transtornos Mentais/diagnóstico
Análise Multivariada
Modelos de Riscos Proporcionais
Estudos Retrospectivos
Esquizofrenia/diagnóstico
Esquizofrenia/mortalidade
Esquizofrenia/terapia
Distribuição por Sexo
Análise de Sobrevida
Taxa de Sobrevida
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180119
[Lr] Data última revisão:
180119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1111/psyg.12274


  7 / 20315 MEDLINE  
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[PMID]:29251463
[Au] Autor:McMinn B; Booth A; Grist E; O'Brien A
[Ti] Título:FALLS AND FALL INJURY IN MENTAL HEALTH INPATIENT UNITS FOR OLDER PEOPLE.
[So] Source:Aust Nurs Midwifery J;24(5):26-9, 2016 11.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Older people in Mental Health Inpatient Units for Older People (MHUOP) are a serious 'at risk' group, both for falling and osteoporotic injury post fall (Stubbs, 2010), as well as prolonged length of stay (Greene et al. 2001).
[Mh] Termos MeSH primário: Acidentes por Quedas/estatística & dados numéricos
Pacientes Internados
Transtornos Mentais/epidemiologia
Ferimentos e Lesões/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Política de Saúde
Hospitais Psiquiátricos
Seres Humanos
Incidência
New South Wales/epidemiologia
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


  8 / 20315 MEDLINE  
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[PMID]:28745681
[Au] Autor:Mikhaylova NM
[Ad] Endereço:Mental Health Research Center, Moscow, Russia.
[Ti] Título:[Organization of out-patient psychiatric care in dementia and cognitive impairment. Part I: Memory clinics and Alzheimer's disease centers].
[Ti] Título:Organizatsiia vnebol'nichnoi gerontopsikhiatricheskoi pomoshchi pri dementsii i kognitivnom snizhenii. Chast' 1: Demograficheskie sdvigi, sozdanie kliniki pamiati i Al'tsgeimerovskikh tsentrov..
[So] Source:Zh Nevrol Psikhiatr Im S S Korsakova;117(6):111-119, 2017.
[Is] ISSN:1997-7298
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The review of publications on an influence of demographic changes in the population on the prevalence of old age dementias and a scale of burden of dementias in modern society are presented. This paper is the first part of the review. It presents the necessity of new forms of out-patient care to the aged with cognitive impairment. The author reviews the history of creation of memory clinics and Alzheimer's disease centers.
[Mh] Termos MeSH primário: Assistência Ambulatorial/organização & administração
Disfunção Cognitiva/terapia
Demência/terapia
Hospitais Psiquiátricos/organização & administração
[Mh] Termos MeSH secundário: Idoso
Doença de Alzheimer/epidemiologia
Doença de Alzheimer/terapia
Disfunção Cognitiva/epidemiologia
Demência/epidemiologia
Seres Humanos
Pacientes Ambulatoriais
Prevalência
[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:170727
[St] Status:MEDLINE
[do] DOI:10.17116/jnevro201711761111-119


  9 / 20315 MEDLINE  
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[PMID]:28987051
[Au] Autor:Heitzman J; Markiewicz I
[Ad] Endereço:Instytut Psychiatrii i Neurologii, Klinika Psychiatrii Sadowej.
[Ti] Título:Financing of forensic psychiatry in view of treatment quality and threat to public safety.
[Ti] Título:Finansowanie psychiatrii sadowej a jakosc leczenia i zagrozenie bezpieczenstwa publicznego..
[So] Source:Psychiatr Pol;51(4):599-608, 2017 Aug 29.
[Is] ISSN:2391-5854
[Cp] País de publicação:Poland
[La] Idioma:eng; pol
[Ab] Resumo:Stay in a psychiatric hospital of persons who committed the gravest criminal acts while in a state of insanity aims to ensure their effective treatment (therapeutic function), but above all to prevent the repetition of prohibited acts of significant harm to the community (preventive function). Forensic patients are provided with suitable medical, psychiatric, rehabilitation and resocialization care. The court imposes an indefinite detention. In view of the dual purpose of the stay in a psychiatric hospital, both therapeutic and preventive, the treatment costs generated by forensic wards are higher than those of general psychiatric wards. This prompts person from outside psychiatry, who do not understand the nature of preventive measures, to call for continuing reductions in the expenditure on forensic psychiatric care. It is, therefore, worth analyzing the possible meaning and results of the attempts to economizeforensic psychiatry, to find savings and to manipulate financing system under the pretence of economic incentive to improve treatment quality. In this paper, the authors address and discuss the above and other issues.
[Mh] Termos MeSH primário: Internação Compulsória de Doente Mental/legislação & jurisprudência
Serviços Comunitários de Saúde Mental/legislação & jurisprudência
Reforma dos Serviços de Saúde/legislação & jurisprudência
Necessidades e Demandas de Serviços de Saúde/legislação & jurisprudência
Segurança/legislação & jurisprudência
[Mh] Termos MeSH secundário: Hospitais Psiquiátricos/legislação & jurisprudência
Seres Humanos
Alta do Paciente/legislação & jurisprudência
Competência Profissional/legislação & jurisprudência
Saúde Pública/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE


  10 / 20315 MEDLINE  
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[PMID]:28979648
[Au] Autor:Bouchra O; Maria S; Abderazak O
[Ad] Endereço:Department of Psychiatry, Faculty of Medicine, University Mohammed I, Oujda, Morocco.
[Ti] Título:Screening of the unrecognised bipolar disorders among outpatients with recurrent depressive disorder: a cross-sectional study in psychiatric hospital in Morocco.
[So] Source:Pan Afr Med J;27:247, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:The bipolar disorder is often misdiagnosed in particular among outpatients with recurrent depression. Indeed, this work confirmed that the unrecognised bipolar disorder is common among depressed outpatients, which were younger, unemployed, single or divorced with a low socio-economic level. These socio-demographics data gives us an idea about the disability experienced by the unknown bipolar patients. Also, we demonstrate that the under-diagnosis bipolar disorder was associated with the earliest onset age of a depressive episode and it was more prevalent in depressed patients with suicidal ideation and suicide attempts. These factors should be taken into account when we screen for the unknowm bipolar disorder, especially type II to improve the early diagnosis and the quality of life of these patients.
[Mh] Termos MeSH primário: Transtorno Bipolar/diagnóstico
Transtorno Depressivo Maior/diagnóstico
Programas de Rastreamento/métodos
Pacientes Ambulatoriais
[Mh] Termos MeSH secundário: Adulto
Idade de Início
Transtorno Bipolar/epidemiologia
Estudos Transversais
Erros de Diagnóstico
Feminino
Hospitais Psiquiátricos
Seres Humanos
Masculino
Meia-Idade
Marrocos
Prevalência
Qualidade de Vida
Fatores Socioeconômicos
Ideação Suicida
Tentativa de Suicídio/psicologia
Tentativa de Suicídio/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171006
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.247.8792



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