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[PMID]:29215224
[Au] Autor:Gregory A
[Ti] Título:Magnified Bacteria Powerful Motivator for Hand Hygiene Compliance.
[So] Source:ED Manag;28(8):94-5, 2016 Aug.
[Is] ISSN:1044-9167
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Infection prevention specialists at Henry Ford Hospital in Detroit have found that showing healthcare workers magnified pictures of bacteria found ontheir hands and in their surrounding units can be a powerful motivator for improved hand hygiene compliance. When tested in four units during a one-month period, the intervention boosted hand hygiene compliance by an average of 24%. Investigators note that to be successful, the intervention must be paired with an effective compliance monitoring program. For the study, investigators visited each unit twice per week, during which they would swab various items as well as employees' hands using and adenosine triphosphate (ATP) meter, a hand-held device that measures living organisms. During each unit visit, infection prevention specialists would show unit personnel pictures from a compilation of 12 magnified images of bacteria that had been lifted from the unit. This was to demonstrate what the bacteria would look like under a microscope. The unsavory pictures produced immediate increases in had hygiene compliance, and prompted healthcare workers to see who could produce the best ATP meter readings on subsequent infection prevention specialist visits.
[Mh] Termos MeSH primário: Bactérias/isolamento & purificação
Infecção Hospitalar/prevenção & controle
Higiene das Mãos
Mãos/microbiologia
Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle
Motivação
Recursos Humanos em Hospital
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Fidelidade a Diretrizes
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Michigan
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE


  2 / 1646 MEDLINE  
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[PMID]:28958316
[Au] Autor:Spruce L
[Ti] Título:Surgical Head Coverings: A Literature Review.
[So] Source:AORN J;106(4):306-316.e6, 2017 Oct.
[Is] ISSN:1878-0369
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Microorganisms that cause surgical site infections may either be present on the patient's skin or mucous membranes or transmitted to the patient by health care personnel, the environment, or other items in the perioperative setting. This literature review analyzes the evidence used to support the recommendation that perioperative personnel should cover their heads, hair, and ears in the semirestricted and restricted areas. A literature search produced 27 articles related to bacterial shedding from skin and hair, pathogenic organisms present on the hair and ears, and case reports of infectious organisms passed from health care providers to patients. Although there is no conclusive evidence that wearing a head covering can help prevent surgical site infections, the potential benefits to patients when compared with the risks suggest that perioperative team members should cover their heads, hair, and ears in the semirestricted and restricted areas to provide the best possible protection for surgical patients.
[Mh] Termos MeSH primário: Cabeça
Pessoal de Saúde
Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle
Roupa de Proteção
Infecção da Ferida Cirúrgica/prevenção & controle
[Mh] Termos MeSH secundário: Orelha/microbiologia
Cabelo/microbiologia
Cabeça/microbiologia
Seres Humanos
Pele/microbiologia
Infecção da Ferida Cirúrgica/microbiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170930
[St] Status:MEDLINE


  3 / 1646 MEDLINE  
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[PMID]:28381816
[Au] Autor:Ishimaru T; Wada K; Smith DR
[Ad] Endereço:Department of Health Management, Nishinihon Occupational Health Service Center.
[Ti] Título:A consensus for occupational health management of healthcare workers infected with human immunodeficiency virus, hepatitis B virus, and / or hepatitis C virus.
[So] Source:J Occup Health;59(3):304-308, 2017 May 25.
[Is] ISSN:1348-9585
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Occupational health management plays an important role in the prevention of provider-to-patient transmission in healthcare workers infected with human immunodeficiency virus (HIV), hepatitis B virus (HBV), and/or hepatitis C virus (HCV). Therefore, the Japan Society for Occupational Health's Research Group on Occupational Health for Health Care Workers has proposed a consensus for the management of healthcare workers infected with HIV, HBV, and/or HCV based on recent evidence for each concerned group. The consensus recommends that: (1) employers in medical institutions should establish a policy of respecting the human rights of healthcare workers, management strategies for occupational blood exposure, and occupational health consultation; (2) occupational health staff should appropriately assess the risk of provider-to-patient transmission of HIV, HBV, and/or HCV infection and rearrange their tasks if necessary. When conducting risk assessment, occupational health staff should obtain informed consent and then cooperate with the physician in charge as well as infection control experts in the workplace; (3) healthcare workers infected with HIV, HBV, and/or HCV should disclose their employment to their treating physician and consult with their doctor regarding the need for special considerations at work; and (4) supervisors and colleagues in medical institutions should correctly understand the risks of HIV, HBV, and HCV infection and should not engage in any behavior that leads to discrimination against colleagues infected with HIV, HBV, and/or HCV.
[Mh] Termos MeSH primário: Guias como Assunto
Infecções por HIV
Pessoal de Saúde
Hepatite B
Hepatite C
[Mh] Termos MeSH secundário: Consenso
Infecção Hospitalar/prevenção & controle
HIV
Hepacivirus
Vírus da Hepatite B
Seres Humanos
Controle de Infecções
Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle
Japão
Saúde do Trabalhador
Direitos do Paciente
Medição de Risco/métodos
Carga Viral
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170407
[St] Status:MEDLINE
[do] DOI:10.1539/joh.16-0275-OP


  4 / 1646 MEDLINE  
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[PMID]:28337457
[Au] Autor:Napoli C; Ferretti F; Di Ninno F; Orioli R; Marani A; Sarlo MG; Prestigiacomo C; De Luca A; Orsi GB
[Ad] Endereço:Department of Medical Surgical Sciences and Translational Medicine, "Sapienza" University of Rome, Via di Grottarossa 1035/1039, 00189 Rome, Italy; Health Direction, University Hospital Sant'Andrea, Via di Grottarossa 1035/1039, 00189 Rome, Italy.
[Ti] Título:Screening for Tuberculosis in Health Care Workers: Experience in an Italian Teaching Hospital.
[So] Source:Biomed Res Int;2017:7538037, 2017.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Health care workers (HCW) are particularly at risk of acquiring tuberculosis (TB), even in countries with low TB incidence. Therefore, TB screening in HCW is a useful prevention strategy in countries with both low and high TB incidence. Tuberculin skin test (TST) is widely used although it suffers of low specificity; on the contrary, the in vitro enzyme immunoassay tests (IGRA) show superior specificity and sensitivity but are more expensive. The present study reports the results of a three-year TB surveillance among HCW in a large teaching hospital in Rome, using TST (by standard Mantoux technique) and IGRA (by QuantiFERON-TB) as first- and second-level screening tests, respectively. Out of 2290 HCW enrolled, 141 (6.1%) had a positive TST; among them, 99 (70.2%) underwent the IGRA and 16 tested positive (16.1%). The frequency of HCW tested positive for TB seems not far from other experiences in low incidence countries. Our results confirm the higher specificity of IGRA, but, due to its higher cost, TST can be considered a good first level screening test, whose positive results should be further confirmed by IGRA before the patients undergo X-ray diagnosis and/or chemotherapy.
[Mh] Termos MeSH primário: Técnicas Imunoenzimáticas/métodos
Testes de Liberação de Interferon-gama/métodos
Teste Tuberculínico/métodos
Tuberculose/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Feminino
Pessoal de Saúde
Hospitais de Ensino
Seres Humanos
Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle
Itália
Masculino
Programas de Rastreamento
Meia-Idade
Tuberculose/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE
[do] DOI:10.1155/2017/7538037


  5 / 1646 MEDLINE  
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[PMID]:28256382
[Au] Autor:Nathavitharana RR; Bond P; Dramowski A; Kotze K; Lederer P; Oxley I; Peters JA; Rossouw C; van der Westhuizen HM; Willems B; Ting TX; von Delft A; von Delft D; Duarte R; Nardell E; Zumla A
[Ad] Endereço:TB Proof, Cape Town, South Africa; Beth Israel Deaconess Medical Center, Division of Infectious Diseases, Boston, MA 02215, USA. Electronic address: rnathavi@bidmc.harvard.edu.
[Ti] Título:Agents of change: The role of healthcare workers in the prevention of nosocomial and occupational tuberculosis.
[So] Source:Presse Med;46(2 Pt 2):e53-e62, 2017 Mar.
[Is] ISSN:2213-0276
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:Healthcare workers (HCWs) play a central role in global tuberculosis (TB) elimination efforts but their contributions are undermined by occupational TB. HCWs have higher rates of latent and active TB than the general population due to persistent occupational TB exposure, particularly in settings where there is a high prevalence of undiagnosed TB in healthcare facilities and TB infection control (TB-IC) programmes are absent or poorly implemented. Occupational health programmes in high TB burden settings are often weak or non-existent and thus data that record the extent of the increased risk of occupational TB globally are scarce. HCWs represent a limited resource in high TB burden settings and occupational TB can lead to workforce attrition. Stigma plays a role in delayed diagnosis, poor treatment outcomes and impaired well-being in HCWs who develop TB. Ensuring the prioritization and implementation of TB-IC interventions and occupational health programmes, which include robust monitoring and evaluation, is critical to reduce nosocomial TB transmission to patients and HCWs. The provision of preventive therapy for HCWs with latent TB infection (LTBI) can also prevent progression to active TB. Unlike other patient groups, HCWs are in a unique position to serve as agents of change to raise awareness, advocate for necessary resource allocation and implement TB-IC interventions, with appropriate support from dedicated TB-IC officers at the facility and national TB programme level. Students and community health workers (CHWs) must be engaged and involved in these efforts. Nosocomial TB transmission is an urgent public health problem and adopting rights-based approaches can be helpful. However, these efforts cannot succeed without increased political will, supportive legal frameworks and financial investments to support HCWs in efforts to decrease TB transmission.
[Mh] Termos MeSH primário: Defesa do Consumidor
Infecção Hospitalar/prevenção & controle
Pessoal de Saúde
Doenças Profissionais/prevenção & controle
Tuberculose/prevenção & controle
[Mh] Termos MeSH secundário: Infecção Hospitalar/epidemiologia
Infecção Hospitalar/transmissão
Feminino
Pessoal de Saúde/educação
Direitos Humanos
Seres Humanos
Controle de Infecções/legislação & jurisprudência
Controle de Infecções/organização & administração
Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle
Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle
Pessoal de Laboratório
Tuberculose Latente/epidemiologia
Masculino
Doenças Profissionais/epidemiologia
Exposição Ocupacional
Serviços de Saúde do Trabalhador/organização & administração
Retorno ao Trabalho
Fatores de Risco
Estudantes de Medicina
Tuberculose/epidemiologia
Tuberculose/transmissão
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170406
[Lr] Data última revisão:
170406
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170304
[St] Status:MEDLINE


  6 / 1646 MEDLINE  
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[PMID]:26888779
[Au] Autor:Davidson JA; Lalor MK; Anderson LF; Tamne S; Abubakar I; Thomas HL
[Ad] Endereço:Respiratory Diseases Department, Centre for Infectious Disease Surveillance and Control, National Infection Service, Public Health England, London, UK.
[Ti] Título:TB in healthcare workers in the UK: a cohort analysis 2009-2013.
[So] Source:Thorax;72(7):654-659, 2017 Jul.
[Is] ISSN:1468-3296
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To describe the burden of TB in healthcare workers (HCWs) in the UK and determine whether HCWs are at increased risk of TB due to occupational exposure. METHODS: Retrospective cohort analysis of national UK TB surveillance and genotyping data between 2009 and 2013. The rate of TB in HCWs compared with non-HCWs to calculate incidence rate ratios stratified by country of birth. RESULTS: 2320 cases of TB in HCWs were notified in the study period, 85% were born abroad. The TB rate in HCWs was 23.4 (95% CI 22.5 to 24.4) per 100 000 compared with 16.2 (95% CI 16.0 to 16.3) per 100 000 in non-HCWs. After stratifying by country of birth, there was not an increased TB incidence in HCWs for the majority of countries of birth, including in the UK-born. Using combined genotyping and epidemiological data, only 10 confirmed nosocomial transmission events involving HCWs were identified between 2010 and 2012. Of these, only two involved transmission to patients. CONCLUSIONS: The lack of an increased risk of TB after stratifying by country of birth, and the very few transmission events involving nosocomial transmission in the UK suggests that TB in HCWs in the UK is not generally acquired through UK occupational exposure. The majority of cases in foreign-born HCWs are likely to result from reactivation of latent TB infection (LTBI) acquired abroad, and is not likely to be prevented by BCG vaccination in the UK. Testing and treatment of LTBI in HCWs with exposure to high TB burden countries should be the focus of occupational health prevention activities.
[Mh] Termos MeSH primário: Emigrantes e Imigrantes/estatística & dados numéricos
Pessoal de Saúde/estatística & dados numéricos
Exposição Ocupacional/efeitos adversos
Tuberculose Pulmonar/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Infecção Hospitalar/epidemiologia
Feminino
Técnicas de Genotipagem
Seres Humanos
Incidência
Transmissão de Doença Infecciosa do Paciente para o Profissional/estatística & dados numéricos
Transmissão de Doença Infecciosa do Profissional para o Paciente/estatística & dados numéricos
Masculino
Meia-Idade
Estudos Retrospectivos
Tuberculose Pulmonar/microbiologia
Reino Unido/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160219
[St] Status:MEDLINE
[do] DOI:10.1136/thoraxjnl-2015-208026


  7 / 1646 MEDLINE  
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[PMID]:27996105
[Au] Autor:Kobayashi M; Lyman MM; Francois Watkins LK; Toews KA; Bullard L; Radcliffe RA; Beall B; Langley G; Beneden CV; Stone ND
[Ad] Endereço:Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia.
[Ti] Título:A Cluster of Group A Streptococcal Infections in a Skilled Nursing Facility-the Potential Role of Healthcare Worker Presenteeism.
[So] Source:J Am Geriatr Soc;64(12):e279-e284, 2016 Dec.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To determine the extent of a group A streptococcus (GAS) cluster (2 residents with invasive GAS (invasive case-patients), 2 carriers) caused by a single strain (T antigen type 2 and M protein gene subtype 2.0 (T2, emm 2.0)), evaluate factors contributing to transmission, and provide recommendations for disease control. DESIGN: Cross-sectional analysis and retrospective review. SETTING: Skilled nursing facility (SNF). PARTICIPANTS: SNF residents and staff. MEASUREMENTS: The initial cluster was identified through laboratory notification and screening of SNF residents with wounds. Laboratory and SNF administrative records were subsequently reviewed to identify additional residents with GAS, oropharyngeal and wound (if present) swabs were collected from SNF staff and residents to examine GAS colonization, staff were surveyed to assess infection control practices and risk factors for GAS colonization, epidemiologic links between case-patients and persons colonized with GAS were determined, and facility infection control practices were assessed. RESULTS: No additional invasive case-patients were identified. Oropharyngeal swabs obtained from all 167 SNF residents were negative; one wound swab grew GAS that was the same as the outbreak strain (T2, emm 2.0). The outbreak strain was not identified in any of the 162 staff members. One of six staff members diagnosed with GAS pharyngitis worked while ill and had direct contact with invasive case-patients within a few weeks before their onset of symptoms. Additional minor breaches in infection control were noted. CONCLUSION: Sick healthcare workers may have introduced GAS into the SNF, with propagation by infection control lapses. "Presenteeism," or working while ill, may introduce and transmit GAS to vulnerable in SNF populations. Identification of an invasive GAS case-patient should trigger a prompt response by facilities to prevent further transmission and workplace culture, and policies should be in place to discourage presenteeism in healthcare settings.
[Mh] Termos MeSH primário: Infecção Hospitalar/epidemiologia
Presenteísmo
Instituições de Cuidados Especializados de Enfermagem/recursos humanos
Infecções Estreptocócicas/epidemiologia
Infecções Estreptocócicas/transmissão
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Surtos de Doenças
Feminino
Seres Humanos
Controle de Infecções
Transmissão de Doença Infecciosa do Profissional para o Paciente
Masculino
Prevalência
Estudos Retrospectivos
South Carolina/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.14505


  8 / 1646 MEDLINE  
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[PMID]:27931450
[Ti] Título:Policy on Infection Control.
[So] Source:Pediatr Dent;38(6):131, 2016 Oct.
[Is] ISSN:1942-5473
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência Odontológica/normas
Controle de Infecções Dentárias
[Mh] Termos MeSH secundário: Política de Saúde
Seres Humanos
Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle
Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle
Estados Unidos
[Pt] Tipo de publicação:GUIDELINE; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:161210
[St] Status:MEDLINE


  9 / 1646 MEDLINE  
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[PMID]:27842651
[Au] Autor:Plantet C; Sanchez S; Cohen N; Denormandie P; Dinh A
[Ad] Endereço:Institut du Bien Vieillir, Korian, 21-25 rue Balzac, 75008 Paris, France.
[Ti] Título:[Caregivers and residents, raising awareness of the influenza vaccine].
[Ti] Título:Soignants et résidents, sensibilisation à la vaccination antigrippale..
[So] Source:Soins Gerontol;21(122):39-43, 2016 Nov - Dec.
[Is] ISSN:1268-6034
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Influenza epidemics in nursing homes can lead to serious complications with a high level of lethality. It has been shown that an active policy of awareness campaigns with obligatory information materials and easy access to influenza immunisation increases the rate of vaccination coverage.
[Mh] Termos MeSH primário: Vacinas contra Influenza
Influenza Humana/prevenção & controle
Casas de Saúde
[Mh] Termos MeSH secundário: Idoso
França
Seres Humanos
Controle de Infecções
Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle
Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle
Influenza Humana/transmissão
Vacinação/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Influenza Vaccines)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170307
[Lr] Data última revisão:
170307
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161116
[St] Status:MEDLINE


  10 / 1646 MEDLINE  
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[PMID]:27622545
[Au] Autor:Hauser-Gerspach I; Erb S; Meyer J
[Ad] Endereço:Klinik für Präventivzahnmedizin und Orale Mikrobiologie, UZB-Universitätszahnkliniken, Basel, Switzerland.
[Ti] Título:[Not Available].
[Ti] Título:Bedeutung der Hepatitis C-Virusinfektion in der zahnärztlichen Praxis..
[So] Source:Swiss Dent J;126(7-8):687-93, 2016.
[Is] ISSN:2296-6498
[Cp] País de publicação:Switzerland
[La] Idioma:fre; ger
[Ab] Resumo:This article gives a short overview about the epidemiology, transmission, clinical appearance, testing and therapy of hepatitis C virus infection and its importance in the healthcare setting. Standard infection control measures in dental practice remain essential for the prevention of HCV transmission.
[Mh] Termos MeSH primário: Antivirais/uso terapêutico
Assistência Odontológica/estatística & dados numéricos
Hepatite C/epidemiologia
Hepatite C/transmissão
Transmissão de Doença Infecciosa do Paciente para o Profissional/estatística & dados numéricos
Transmissão de Doença Infecciosa do Profissional para o Paciente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Estudos Transversais
Hepatite C/tratamento farmacológico
Hepatite C/prevenção & controle
Seres Humanos
Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle
Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle
Suíça
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Antiviral Agents)
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170117
[Lr] Data última revisão:
170117
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:160914
[St] Status:MEDLINE



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