Base de dados : MEDLINE
Pesquisa : N04.590.254 [Categoria DeCS]
Referências encontradas : 16 [refinar]
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  1 / 16 MEDLINE  
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[PMID]:28279150
[Au] Autor:Groeneveld GH; Dalhuijsen A; Kara-Zaïtri C; Hamilton B; de Waal MW; van Dissel JT; van Steenbergen JE
[Ad] Endereço:Department of Internal Medicine and Infectious Diseases, Leiden University Medical Center, P.O. box 9600, 2300 RC, Leiden, The Netherlands. g.h.groeneveld@lumc.nl.
[Ti] Título:ICARES: a real-time automated detection tool for clusters of infectious diseases in the Netherlands.
[So] Source:BMC Infect Dis;17(1):201, 2017 Mar 09.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Clusters of infectious diseases are frequently detected late. Real-time, detailed information about an evolving cluster and possible associated conditions is essential for local policy makers, travelers planning to visit the area, and the local population. This is currently illustrated in the Zika virus outbreak. METHODS: In the Netherlands, ICARES (Integrated Crisis Alert and Response System) has been developed and tested on three syndromes as an automated, real-time tool for early detection of clusters of infectious diseases. From local general practices, General Practice Out-of-Hours services and a hospital, the numbers of routinely used syndrome codes for three piloted tracts i.e., respiratory tract infection, hepatitis and encephalitis/meningitis, are sent on a daily basis to a central unit of infectious disease control. Historic data combined with information about patients' syndromes, age cohort, gender and postal code area have been used to detect clusters of cases. RESULTS: During the first 2 years, two out of eight alerts appeared to be a real cluster. The first was part of the seasonal increase in Enterovirus encephalitis and the second was a remarkably long lasting influenza season with high peak incidence. CONCLUSIONS: This tool is believed to be the first flexible automated, real-time cluster detection system for infectious diseases, based on physician information from both general practitioners and hospitals. ICARES is able to detect and follow small regional clusters in real time and can handle any diseases entity that is regularly registered by first line physicians. Its value will be improved when more health care institutions agree to link up with ICARES thus improving further the signal-to-noise ratio.
[Mh] Termos MeSH primário: Processamento Automatizado de Dados
Controle de Doenças Transmissíveis/métodos
Doenças Transmissíveis/epidemiologia
Gestão de Recursos da Equipe de Assistência à Saúde/métodos
Surtos de Doenças
[Mh] Termos MeSH secundário: Adulto
Processamento Automatizado de Dados/métodos
Análise por Conglomerados
Feminino
Hospitais
Seres Humanos
Incidência
Masculino
Países Baixos/epidemiologia
Zika virus
Infecção pelo Zika virus/diagnóstico
Infecção pelo Zika virus/epidemiologia
Infecção pelo Zika virus/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170705
[Lr] Data última revisão:
170705
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2300-5


  2 / 16 MEDLINE  
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[PMID]:28119369
[Au] Autor:Siems A; Cartron A; Watson A; McCarter R; Levin A
[Ad] Endereço:Children's National Health System, Washington, DC asiems@cnmc.org.
[Ti] Título:Improving Pediatric Rapid Response Team Performance Through Crew Resource Management Training of Team Leaders.
[So] Source:Hosp Pediatr;7(2):88-95, 2017 02.
[Is] ISSN:2154-1663
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Rapid response teams (RRTs) improve the detection of and response to deteriorating patients. Professional hierarchies and the multidisciplinary nature of RRTs hinder team performance. This study assessed whether an intervention involving crew resource management training of team leaders could improve team performance. METHODS: In situ observations of RRT activations were performed pre- and post-training intervention. Team performance and dynamics were measured by observed adherence to an ideal task list and by the Team Emergency Assessment Measure tool, respectively. Multiple quartile (median) and logistic regression models were developed to evaluate change in performance scores or completion of specific tasks. RESULTS: Team leader and team introductions (40% to 90%, P = .004; 7% to 45%, P = .03), floor team presentations in Situation Background Assessment Recommendation format (20% to 65%, P = .01), and confirmation of the plan (7% to 70%, P = .002) improved after training in patients transferred to the ICU (n = 35). The Team Emergency Assessment Measure metric was improved in all 4 categories: leadership (2.5 to 3.5, P < .001), teamwork (2.7 to 3.7, P < .001), task management (2.9 to 3.8, P < .001), and global scores (6.0 to 9.0, P < .001) for teams caring for patients who required transfer to the ICU. CONCLUSIONS: Targeted crew resource management training of the team leader resulted in improved team performance and dynamics for patients requiring transfer to the ICU. The intervention demonstrated that training the team leader improved behavior in RRT members who were not trained.
[Mh] Termos MeSH primário: Gestão de Recursos da Equipe de Assistência à Saúde
Cuidados Críticos
Equipe de Respostas Rápidas de Hospitais/normas
Ressuscitação/educação
Desempenho Profissional
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Gestão de Recursos da Equipe de Assistência à Saúde/métodos
Gestão de Recursos da Equipe de Assistência à Saúde/normas
Cuidados Críticos/métodos
Cuidados Críticos/normas
District of Columbia
Educação
Feminino
Seres Humanos
Lactente
Liderança
Masculino
Melhoria de Qualidade
Análise e Desempenho de Tarefas
Desempenho Profissional/educação
Desempenho Profissional/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170614
[Lr] Data última revisão:
170614
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE
[do] DOI:10.1542/hpeds.2016-0111


  3 / 16 MEDLINE  
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[PMID]:27782914
[Au] Autor:Nelson S; White CF; Hodges BD; Tassone M
[Ad] Endereço:S. Nelson is vice provost, academic, and professor, Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. C.F. White is a registered nurse, University Health Network, Toronto, Ontario, Canada. B.D. Hodges is executive vice president, University Health Network, and professor, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. M. Tassone is senior director, Collaborative and Transformative Learning, University Health Network, director, Centre for Interprofessional Education, University of Toronto, and assistant professor, Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
[Ti] Título:Interprofessional Team Training at the Prelicensure Level: A Review of the Literature.
[So] Source:Acad Med;92(5):709-716, 2017 May.
[Is] ISSN:1938-808X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The authors undertook a descriptive analysis review to gain a better understanding of the various approaches to and outcomes of team training initiatives in prelicensure curricula since 2000. METHOD: In July and August 2014, the authors searched the MEDLINE, PsycINFO, Embase, Business Source Premier, and CINAHL databases to identify evaluative studies of team training programs' effects on the team knowledge, communication, and skills of prelicensure students published from 2000 to August 2014. The authors identified 2,568 articles, with 17 studies meeting the selection criteria for full text review. RESULTS: The most common study designs were single-group, pre/posttest studies (n = 7), followed by randomized controlled or comparison trials (n = 6). The Situation, Background, Assessment, Recommendation communication tool (n = 5); crisis resource management principles (n = 6); and high-fidelity simulation (n = 4) were the most common curriculum bases used. Over half of the studies (n = 9) performed training with students from more than one health professions program. All but three used team performance assessments, with most (n = 8) using observed behavior checklists created for that specific study. The majority of studies (n = 16) found improvements in team knowledge, communication, and skills. CONCLUSIONS: Team training appears effective in improving team knowledge, communication, and skills in prelicensure learners. Continued exploration of the best method of team training is necessary to determine the most effective way to move forward in prelicensure interprofessional team education.
[Mh] Termos MeSH primário: Competência Clínica
Currículo
Educação Profissionalizante/métodos
Pessoal de Saúde/educação
Relações Interprofissionais
Equipe de Assistência ao Paciente
[Mh] Termos MeSH secundário: Gestão de Recursos da Equipe de Assistência à Saúde
Educação Médica/métodos
Educação em Enfermagem/métodos
Educação em Farmácia/métodos
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161027
[St] Status:MEDLINE
[do] DOI:10.1097/ACM.0000000000001435


  4 / 16 MEDLINE  
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[PMID]:27637441
[Au] Autor:Pietsch U; Knapp J; Ney L; Berner A; Lischke V
[Ad] Endereço:Kantonsspital St Gallen Klinik für Anästhesiologie, Intensiv-, Rettungs- und Schmerzmedizin, St Gallen, Switzerland; Klinik für Anästhesiologie und Schmerztherapie, Unispital Bern, Bern, Switzerland; Air Zermatt Heliport Raron, Raron, Switzerland. Electronic address: urs.pietsch@kssg.ch.
[Ti] Título:Simulation-Based Training in Mountain Helicopter Emergency Medical Service: A Multidisciplinary Team Training Concept.
[So] Source:Air Med J;35(5):301-4, 2016 Sep-Oct.
[Is] ISSN:1532-6497
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Mountain helicopter rescue operations often confront crews with unique challenges in which even minor errors can result in dangerous situations. Simulation training provides a promising tool to train the management of complex multidisciplinary settings, thus reducing the occurrence of fatal errors and increasing the safety for both the patient and the helicopter emergency medical service (HEMS) crew. METHODS: A simulation-based training, dedicated to mountain helicopter emergency medicine service, was developed and executed. We evaluated the impact of this training by the means of a pre- and posttraining self-assessment of 40 HEMS crewmembers. RESULTS: Multidisciplinary simulation-based educational training in HEMS is feasible. There was a significant increase in self-assessed competence in safety-related items of human factors and team resource management. The highest gain of competence was demonstrated by a trend in the domain of structured decision making. CONCLUSIONS: Interprofessional simulation-based team training could have the potential to impact patient outcomes and improve rescuer safety. Simulation trainings lead to a subjective increase of self-assuredness in the management of complex situations in a difficult working environment.
[Mh] Termos MeSH primário: Resgate Aéreo
Gestão de Recursos da Equipe de Assistência à Saúde
Serviços Médicos de Emergência
Pessoal de Saúde/educação
Equipe de Assistência ao Paciente
Treinamento por Simulação/métodos
[Mh] Termos MeSH secundário: Competência Clínica
Estudos de Viabilidade
Alemanha
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160918
[St] Status:MEDLINE


  5 / 16 MEDLINE  
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[PMID]:27393762
[Au] Autor:Winkelmann M; Friedrich L; Schröter C; Flemming A; Eismann H; Sieg L; Mommsen P; Krettek C; Zeckey C
[Ad] Endereço:Trauma Department, Hannover Medical School, Hannover, Germany. Electronic address: winkelmann.marcel@mh-hannover.de.
[Ti] Título:Simulator-Based Air Medical Training Program Christoph Life: From Concept to Course.
[So] Source:Air Med J;35(4):242-6, 2016 Jul-Aug.
[Is] ISSN:1532-6497
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Christoph Life is a simulator-based air medical training program and a new and innovative educational concept. Participants pass different scenarios with a fully equipped and movable helicopter simulator. Main focuses of the program are crew resource management (CRM) elements and team training. Information about expectations end effectiveness of the training is sparse. METHODS: During a 2-day training, participants learn CRM basics and complete various emergency medical scenarios. For evaluation, we used an anonymous questionnaire either with polar questions or a 6-coded psychometric Likert scale. The Wilcoxon test was used for statistical analysis. The significance level was set at P < .05. RESULTS: Thirteen teams of emergency physicians and specially trained paramedics underwent Christoph Life. It was evaluated largely positively and considered very helpful for daily work (5.7 ± 0.5) and avoiding mistakes (5.7 ± 0.5). The quality of participants' knowledge about CRM basics (3.5 ± 1.2 vs. 5.4 ± 0.7, P < .001), self-assessment of communication skills (4.2 ± 0.7 vs. 4.8 ± 0.8, P = .02), and active reflection of communication aspects (3.9 ± 0.9 vs. 5.5 ± 0.5, P < .001) could be strikingly increased. CONCLUSIONS: There is a considerable demand for intensified training on the part of the users. We were able to show that a simulator-based air medical training program is a helpful training tool with an obvious subjective benefit for the participants' nontechnical skills.
[Mh] Termos MeSH primário: Resgate Aéreo
Gestão de Recursos da Equipe de Assistência à Saúde
Auxiliares de Emergência/educação
Medicina de Emergência/educação
Médicos
Treinamento por Simulação/métodos
Transporte de Pacientes
[Mh] Termos MeSH secundário: Adulto
Comunicação
Serviços Médicos de Emergência
Alemanha
Seres Humanos
Equipe de Assistência ao Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160710
[St] Status:MEDLINE


  6 / 16 MEDLINE  
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[PMID]:27351122
[Au] Autor:Gallagher D
[Ad] Endereço:Diane Gallagher is the associate vice president of clinical nursing operations, women's and children's nursing, at Rush University Medical Center in Chicago, Ill.
[Ti] Título:Crew resource management...following up.
[So] Source:Nurs Manage;47(7):50-4, 2016 Jul.
[Is] ISSN:1538-8670
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Gestão de Recursos da Equipe de Assistência à Saúde/organização & administração
Pessoal de Saúde/educação
Capacitação em Serviço/organização & administração
Equipe de Assistência ao Paciente/organização & administração
Gestão da Segurança
[Mh] Termos MeSH secundário: Competência Clínica
Comunicação
Seguimentos
Seres Humanos
Avaliação de Programas e Projetos de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160629
[St] Status:MEDLINE
[do] DOI:10.1097/01.NUMA.0000484475.83736.6e


  7 / 16 MEDLINE  
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[PMID]:26878329
[Au] Autor:Chan CK; So EH; Ng GW; Ma TW; Chan KK; Ho LY
[Ad] Endereço:Multidisciplinary Simulation and Skills Centre, Queen Elizabeth Hospital, Jordan, Hong Kong.
[Ti] Título:Participant evaluation of simulation training using crew resource management in a hospital setting in Hong Kong.
[So] Source:Hong Kong Med J;22(2):131-7, 2016 Apr.
[Is] ISSN:1024-2708
[Cp] País de publicação:China
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: A simulation team-based crew resource management training programme was developed to provide a unique multidisciplinary learning experience for health care professionals in a regional hospital in Hong Kong. In this study, we evaluated how health care professionals perceive the programme. METHODS: A cross-sectional questionnaire survey was conducted in the Multidisciplinary Simulation and Skills Centre at Queen Elizabeth Hospital in Hong Kong. A total of 55 individuals in the departments of Obstetrics and Gynaecology, Anaesthesiology and Operating Theatre Services, Intensive Care Unit, and Accident and Emergency participated in the study between June 2013 and December 2013. The course content was specially designed according to the needs of the clinical departments and comprised a lecture followed by scenarios and debriefing sessions. Principles of crew resource management were introduced and taught throughout the course by trained instructors. Upon completion of each course, the participants were surveyed using a 5-point Likert scale and open-ended questions. RESULTS: The participant's responses to the survey were related to course organisation and satisfaction, realism, debriefing, and relevance to practice. The overall rating of the training programme was high, with mean Likert scale scores of 4.1 to 4.3. The key learning points were identified as closed-loop communication skills, assertiveness, decision making, and situational awareness. CONCLUSIONS: The use of a crew resource management simulation-based training programme is a valuable teaching tool for frontline health care staff. Concepts of crew resource management were relevant to clinical practice. It is a highly rated training programme and our results support its broader application in Hong Kong.
[Mh] Termos MeSH primário: Gestão de Recursos da Equipe de Assistência à Saúde/organização & administração
Pessoal de Saúde/educação
Equipe de Assistência ao Paciente/organização & administração
Treinamento por Simulação/métodos
[Mh] Termos MeSH secundário: Competência Clínica
Comunicação
Estudos Transversais
Tomada de Decisões
Feminino
Pessoal de Saúde/organização & administração
Hong Kong
Seres Humanos
Masculino
Desenvolvimento de Programas
Avaliação de Programas e Projetos de Saúde
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170117
[Lr] Data última revisão:
170117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160216
[St] Status:MEDLINE
[do] DOI:10.12809/hkmj154595


  8 / 16 MEDLINE  
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[PMID]:26869276
[Au] Autor:Brindley PG; Beed M; Duggan LV; Hung O; Murphy MF
[Ad] Endereço:Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, AB, T6G 2B7, Canada. brindley@ualberta.ca.
[Ti] Título:Updating our approach to the difficult and failed airway: time to "stop and think".
[So] Source:Can J Anaesth;63(4):373-81, 2016 Apr.
[Is] ISSN:1496-8975
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Manuseio das Vias Aéreas/métodos
[Mh] Termos MeSH secundário: Adulto
Gestão de Recursos da Equipe de Assistência à Saúde
Seres Humanos
Erros Médicos
[Pt] Tipo de publicação:EDITORIAL
[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:160213
[St] Status:MEDLINE
[do] DOI:10.1007/s12630-016-0594-1


  9 / 16 MEDLINE  
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[PMID]:26861702
[Au] Autor:Ullman E; Kennedy M; Di Delupis FD; Pisanelli P; Burbui AG; Cussen M; Galli L; Pini R; Gensini GF
[Ad] Endereço:Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 1 Deaconess Road, WCC2, Boston, MA, 02215, USA. eullman@bidmc.harvard.edu.
[Ti] Título:The Tuscan Mobile Simulation Program: a description of a program for the delivery of in situ simulation training.
[So] Source:Intern Emerg Med;11(6):837-41, 2016 Sep.
[Is] ISSN:1970-9366
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:Simulation has become a critical aspect of medical education. It allows health care providers the opportunity to focus on safety and high-risk situations in a protected environment. Recently, in situ simulation, which is performed in the actual clinical setting, has been used to recreate a more realistic work environment. This form of simulation allows for better team evaluation as the workers are in their traditional roles, and can reveal latent safety errors that often are not seen in typical simulation scenarios. We discuss the creation and implementation of a mobile in situ simulation program in emergency departments of three hospitals in Tuscany, Italy, including equipment, staffing, and start-up costs for this program. We also describe latent safety threats identified in the pilot in situ simulations. This novel approach has the potential to both reduce the costs of simulation compared to traditional simulation centers, and to expand medical simulation experiences to providers and healthcare organizations that do not have access to a large simulation center.
[Mh] Termos MeSH primário: Competência Clínica/normas
Educação Médica/métodos
Desenvolvimento de Programas
Treinamento por Simulação/métodos
[Mh] Termos MeSH secundário: Gestão de Recursos da Equipe de Assistência à Saúde/métodos
Gestão de Recursos da Equipe de Assistência à Saúde/normas
Educação Médica/normas
Serviço Hospitalar de Emergência/recursos humanos
Serviço Hospitalar de Emergência/organização & administração
Seres Humanos
Itália
Treinamento por Simulação/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171105
[Lr] Data última revisão:
171105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160211
[St] Status:MEDLINE
[do] DOI:10.1007/s11739-016-1401-2


  10 / 16 MEDLINE  
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[PMID]:26554200
[Au] Autor:Sappideen C
[Ti] Título:Medical teams and the standard of care in negligence.
[So] Source:J Law Med;23(1):69-82, 2015 Sep.
[Is] ISSN:1320-159X
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Medical teams are essential to the delivery of modern, patient-centred health care in hospitals. A collective model of responsibility envisaged by team care is inconsistent with common law tort liability which focuses on the individual rather than the team. There is no basis upon which a team can be liable as a collective at common law. Nor does the common law'countenance liability for the conduct of other team members absent some form of agency, vicarious liability or non-delegable duty. Despite the barriers to the adoption of a team standard of care in negligence, there is scope for team factors to have a role in determining the standard of care so that being a team player is part and parcel of what it is to be a competent professional. If this is the case, the skill set, and the standard of care expected of the individual professional, includes skills based on team models of communication, cross-monitoring and trust.
[Mh] Termos MeSH primário: Imperícia/legislação & jurisprudência
Erros Médicos/prevenção & controle
Equipe de Assistência ao Paciente
Padrão de Cuidado/legislação & jurisprudência
[Mh] Termos MeSH secundário: Gestão de Recursos da Equipe de Assistência à Saúde
Seres Humanos
Segurança do Paciente
Assistência Centrada no Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1512
[Cu] Atualização por classe:151111
[Lr] Data última revisão:
151111
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151112
[St] Status:MEDLINE



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