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  1 / 9133 MEDLINE  
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[PMID]:29406643
[Au] Autor:Ivey J
[Ti] Título:Natural Disasters: Looking at the Consequences.
[So] Source:Pediatr Nurs;42(5):242, 2016 Sep-Oct.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos de Ansiedade/diagnóstico
Transtornos de Ansiedade/psicologia
Tempestades Ciclônicas
Desastres
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/psicologia
Sobreviventes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Fatores Etários
Criança
Pré-Escolar
Estudos Transversais
Feminino
Seres Humanos
Masculino
New Jersey
Fatores Sexuais
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  2 / 9133 MEDLINE  
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[PMID]:29406642
[Au] Autor:Quinn M; Gillooly D; Kelly S; Kolassa J; Davis E; Jankowski S
[Ti] Título:Evaluation of Identified Stressors in Children and Adolescents After Super Storm Sandy.
[So] Source:Pediatr Nurs;42(5):235-41, 2016 Sep-Oct.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Super Storm Sandy, one of the largest storms endured by the East Coast of theUnited States, devastated New Jersey and the eastern seaboard. Although naturaldisasters affect individuals of all ages, children are particularly vulnerable becausetheir sense of normalcy is altered. The purpose of this study was to explore theeffects that exposure to Super Storm Sandy had on children who resided in NewJersey. This was a non-experimental, quantitative, cross-sectional research study.Study participants were recruited via printed flyers at disaster resource sites and ona dedicated research team's Facebook site. Each participant completed theHurricane Stressors Assessment Tool for Children and Adolescents as a webbasedsurvey related to their experiences with the hurricane. One hundred andforty-one (141) children participated in this study. Age groups (preschool, child, andadolescent) had varied results based upon developmental level. Age was positivelyassociated with finding it harder to concentrate and pay attention (r = 0.18, p =0.04); feeling sad, down, or depressed (r = 0.17, p < 0.05); being quiet and withdrawn (r = 0.16, p = 0.05); feeling irritable and grouchy (r = 0.26, p < 0.05); and findingit harder to complete schoolwork (r = 0.32, p < 0.001). Certain parental perceptionsof their child's behavior were negatively associated with the age of the child.Children had varying degrees of experiences after Sandy. Adolescents were shownto be more aware and affected by the storm than younger children. Observationscan be used for intervention initiatives in the post-natural disaster period, encouraginghealthcare providers to acknowledge family and community healing to provideadequate mental health referrals in the post-disaster period.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/diagnóstico
Transtornos de Ansiedade/psicologia
Tempestades Ciclônicas
Desastres
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/psicologia
Sobreviventes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Fatores Etários
Criança
Pré-Escolar
Estudos Transversais
Feminino
Seres Humanos
Masculino
New Jersey
Fatores Sexuais
Inquéritos e Questionários
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  3 / 9133 MEDLINE  
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[PMID]:28481718
[Au] Autor:Qureshi RI; Zha P; Kim S; Hindin P; Naqvi Z; Holly C; Dubbs W; Ritch W
[Ad] Endereço:a School of Nursing, Rutgers , State University of New Jersey , Newark , New Jersey , USA.
[Ti] Título:Health Care Needs and Care Utilization Among Lesbian, Gay, Bisexual, and Transgender Populations in New Jersey.
[So] Source:J Homosex;65(2):167-180, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to explore prevalent health issues, perceived barriers to seeking health care, and utilization of health care among lesbian, gay, bisexual, and transgender (LGBT) populations in New Jersey. A cross-sectional online survey was administered to 438 self-identified LGBT people. Results identified health needs, which included management of chronic diseases, preventive care for risky behaviors, mental health issues, and issues related to interpersonal violence. Barriers to seeking health care included scarceness of health professionals competent in LGBT health, inadequate health insurance coverage and lack of personal finances, and widely dispersed LGBT inclusive practices making transportation difficult. There is a need for better preparation of health care professionals who care for LGBT patients, to strengthen social services to improve access and for better integration of medical and social services.
[Mh] Termos MeSH primário: Serviços de Saúde/utilização
Determinação de Necessidades de Cuidados de Saúde
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos Transversais
Feminino
Homossexualidade Feminina/psicologia
Homossexualidade Masculina/psicologia
Seres Humanos
Masculino
Meia-Idade
New Jersey
Comportamento Sexual
Pessoas Transgênero
Transexualismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1311555


  4 / 9133 MEDLINE  
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[PMID]:29332914
[Au] Autor:Ichimoto E; Kadohira T; Nakayama T; De Gregorio J
[Ad] Endereço:Department of Invasive Cardiology, Englewood Hospital and Medical Center.
[Ti] Título:Long-Term Clinical Outcomes after Treatment with Excimer Laser Coronary Atherectomy for In-Stent Restenosis of Drug-Eluting Stent.
[So] Source:Int Heart J;59(1):14-20, 2018 Jan 27.
[Is] ISSN:1349-3299
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Excimer laser coronary atherectomy (ELCA) has been used for the treatment of complex percutaneous coronary intervention (PCI) such as in-stent restenosis (ISR). However, little information was provided about the clinical outcomes after treatment with ELCA for ISR of drug-eluting stents (DES). This study aimed to investigate the long-term clinical outcomes after PCI with ELCA for ISR of DES.A total of 81 consecutive patients with 87 lesions who underwent PCI for ISR of DES were included. Patients were classified into a PCI with ELCA group (23 patients with 24 lesions) and a PCI without ELCA group (58 patients with 63 lesions). The major adverse cardiac events (MACE) were evaluated. The mean duration of clinical follow-up was 29.8 ± 11.6 months. The incidences of diffuse restenosis and AHA/ACC type B2 or C lesion in the PCI with ELCA group were higher than in the PCI without ELCA group. Quantitative coronary angiography showed the acute luminal gain in the PCI with ELCA group was greater than in the PCI without ELCA group (1.64 ± 0.48 mm versus 1.26 ± 0.42 mm, P < 0.001). There were no significant differences in all-cause death, myocardial infarction, or target lesion revascularization between the 2 groups. Multivariate analysis due to a Cox proportional-hazards model showed that multivessel disease was an independent predictor of MACE (hazard ratio 3.05, 95% confidence interval 1.22 to 7.61, P = 0.02). ELCA was effective as an atherectomy device for lumen enlargement and optimal lesion preparation. Even though ELCA was used for ISR of DES in significantly more complex lesions, the long-term clinical outcomes were favorable and similar.
[Mh] Termos MeSH primário: Aterectomia Coronária/métodos
Doença da Artéria Coronariana/cirurgia
Stents Farmacológicos/efeitos adversos
Oclusão de Enxerto Vascular/cirurgia
Lasers de Excimer/uso terapêutico
Intervenção Coronária Percutânea/efeitos adversos
[Mh] Termos MeSH secundário: Idoso
Angiografia Coronária
Doença da Artéria Coronariana/diagnóstico
Feminino
Seguimentos
Oclusão de Enxerto Vascular/diagnóstico
Oclusão de Enxerto Vascular/epidemiologia
Seres Humanos
Incidência
Masculino
New Jersey/epidemiologia
Desenho de Prótese
Reoperação
Estudos Retrospectivos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:180116
[St] Status:MEDLINE
[do] DOI:10.1536/ihj.16-638


  5 / 9133 MEDLINE  
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[PMID]:27775834
[Au] Autor:Atherholt TB; Procopio NA; Goodrow SM
[Ad] Endereço:Division of Science, Research and Environmental Health, New Jersey Department of Environmental Protection, 428-01, P.O. Box 420, 428 East State St., Trenton, NJ 08625-0420.
[Ti] Título:Seasonality of Coliform Bacteria Detection Rates in New Jersey Domestic Wells.
[So] Source:Ground Water;55(3):346-361, 2017 05.
[Is] ISSN:1745-6584
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:It is important that indicators of fecal pollution are reliable. Coliform bacteria are a commonly used indicator of fecal pollution. As other investigators have reported elsewhere, we observed a seasonal pattern of coliform bacteria detections in domestic wells in New Jersey. Examination of a statewide database of 10 years of water quality data from 93,447 samples, from 78,207 wells, generated during real estate transactions, revealed that coliform bacteria were detected in a higher proportion of wells during warm weather months. Further examination of the seasonal pattern of other data, including well water pH, precipitation, ground and surface water temperatures, surface water coliform bacteria concentrations, and vegetation, resulted in the hypothesis that these bacteria may be derived from nonfecal (or environmentally adapted) as well as fecal sources. We provide evidence that the coliform seasonality may be the result of seasonal changes in groundwater extraction volumes (and to a lesser extent precipitation), and temperature-driven changes in the concentration of surface or near-surface coliform sources. Nonfecal coliform sources may not indicate the presence of fecal wastes and hence the potential presence of pathogens, or do so in an inconsistent fashion. Additional research is needed to identify the sources of the coliforms detected in groundwater.
[Mh] Termos MeSH primário: Bactérias
Água Subterrânea
Microbiologia da Água
[Mh] Termos MeSH secundário: Enterobacteriaceae
Fezes
New Jersey
Estações do Ano
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1111/gwat.12482


  6 / 9133 MEDLINE  
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[PMID]:29215834
[Au] Autor:Maisel D
[Ti] Título:A United Response: Programs in Israel and Jersey City, N.J., shift the paradigm of the community's role in medical response and disaster preparedness.
[So] Source:JEMS;42(2):54-8, 2017 02.
[Is] ISSN:0197-2510
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Desastres
Serviços Médicos de Emergência/organização & administração
Voluntários
[Mh] Termos MeSH secundário: Planejamento em Saúde Comunitária
Comparação Transcultural
Planejamento em Desastres
Serviços Médicos de Emergência/recursos humanos
Seres Humanos
Israel
Modelos Organizacionais
New Jersey
[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


  7 / 9133 MEDLINE  
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[PMID]:29229138
[Au] Autor:Scholer AJ; Oliver JB; Rosado J; Patel JS; Lynch LJ; Spiegler KM; Houck K; Chokshi RJ
[Ad] Endereço:Department of Surgery, Rutgers University, New Jersey Medical School, Newark, New Jersey.
[Ti] Título:Abdominal wall reconstruction after cytoreduction surgery-hyperthermic intraperitoneal chemotherapy.
[So] Source:J Surg Res;221:266-274, 2018 Jan.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cytoreduction surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) improve survival and decrease recurrence of peritoneal metastasis in a select population of patients. Abdominal wall resection is often needed to achieve complete CRS and the extent of abdominal wall resection may necessitate abdominal wall reconstruction (AWR). We sought to investigate if postoperative morbidity and mortality was increased in patients who underwent AWR with CRS-HIPEC (AWR group) compared to CRS-HIPEC without AWR (non-AWR group) and to identify if patient, tumor, and operative risk factors were associated with poor outcomes following AWR. We postulate that AWR is a safe and viable treatment option in appropriately selected patients with peritoneal disease. METHODS: A retrospective chart review was conducted from 2012 to 2015. Demographics, comorbidities, intraoperative variables, and postoperative outcomes were analyzed and compared between the non-AWR group and the AWR group. RESULTS: A total of 30 patients underwent CRS-HIPEC at our institution; 19 recruited in non-AWR group and 11 in the AWR arm. Median follow-up was 19.1 mo for the non-AWR group and 15.6 mo for AWR. Overall survival and complications were not significantly different between groups. Six patients in the non-AWR group and three patients in AWR group died during the follow-up period (32% versus 27%, P = 0.75). Grade III/IV Clavien-Dindo complications were similar in AWR compared to non-AWR group (64% versus 50%, P = 0.46) however estimated blood loss (1000 mL versus 450 mL, P = 0.01) and operative time (663 min versus 510 min, P = 0.02) were significantly increased in the AWR group. CONCLUSIONS: The results of this study demonstrate that AWR is a safe and viable option and can improve wound closure and strength in select patient populations undergoing CRS-HIPEC. AWR is not associated with an increase in mortality or complication rate. Future studies will need larger sample sizes and randomization to identify patient and operative factors that increase morbidity with AWR and identify the ideal timing of AWR.
[Mh] Termos MeSH primário: Parede Abdominal/cirurgia
Procedimentos Cirúrgicos de Citorredução/mortalidade
Hipertermia Induzida
Neoplasias/terapia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Meia-Idade
Neoplasias/mortalidade
New Jersey/epidemiologia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE


  8 / 9133 MEDLINE  
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[PMID]:29076836
[Au] Autor:Stockwell S
[Ad] Endereço:Serena Stockwell.
[Ti] Título:Crisis in New Jersey Highlights Problems for Many State Boards of Nursing.
[So] Source:Am J Nurs;117(11):12-13, 2017 Nov.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Bureaucracy and lack of resources challenge licensing and oversight.
[Mh] Termos MeSH primário: Certificação/legislação & jurisprudência
Licenciamento em Enfermagem
Conselhos de Especialidade Profissional/legislação & jurisprudência
[Mh] Termos MeSH secundário: Orçamentos
Regulamentação Governamental
Seres Humanos
New Jersey
Autonomia Profissional
Sociedades de Enfermagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171028
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000526729.52786.70


  9 / 9133 MEDLINE  
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[PMID]:29016511
[Au] Autor:Clark NM; Schembri M; Jacoby VL
[Ad] Endereço:University of California, San Francisco School of Medicine, and the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, California.
[Ti] Título:Change in Surgical Practice for Women With Leiomyomas After the U.S. Food and Drug Administration Morcellator Safety Communication.
[So] Source:Obstet Gynecol;130(5):1057-1063, 2017 Nov.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the association between the U.S. Food and Drug Administration (FDA) communication discouraging use of power morcellators on changes in surgical practice for women with uterine leiomyomas. METHODS: This is a cross-sectional study using data from 2013 to 2014 in the Healthcare Cost and Utilization Project State Inpatient and State Ambulatory Surgical Databases from Arizona, Florida, Kentucky, and New Jersey. Women with a diagnosis of leiomyomas who underwent hysterectomy or myomectomy were included in the analysis. Multivariable models were used to assess changes in the proportion of hysterectomies performed laparoscopically, vaginally, or by laparotomy in the 15 months before the FDA safety communication in April 2013 (January 2013 to March 2014) to the 9 months after the FDA communication (April to December 2014). Changes in the proportion of women who underwent myomectomy compared with hysterectomy were also evaluated during this time period. RESULTS: There were 77,637 hysterectomy and myomectomy cases analyzed from states with both inpatient and ambulatory surgery data; 59% of patients were outpatients. Overall, there was a 4% (95% CI 3.2-4.8%) decrease in the use of laparoscopic hysterectomy for treatment of uterine leiomyomas from 62% of all hysterectomies before the FDA communication on morcellation to 58% afterward. Changes in surgical practice were more pronounced in the inpatient compared with outpatient setting; inpatient laparoscopic hysterectomy decreased by 7% (95% CI 6.1-7.9%) from 24% to 17% of all hysterectomies with an accompanying increase in abdominal hysterectomy of 8% (95% CI 6.7-8.6%) from 71% to 79%. There were no significant changes in the proportion of women with leiomyomas who underwent myomectomy compared with hysterectomy. CONCLUSION: The FDA communication discouraging the use of power morcellators was associated with a decline in laparoscopy to perform hysterectomy, particularly in the inpatient setting. There was no change in the selection of myomectomy compared with hysterectomy for leiomyoma treatment after the FDA communication.
[Mh] Termos MeSH primário: Histerectomia/tendências
Laparoscopia/tendências
Leiomioma/cirurgia
Morcelação/instrumentação
Retirada de Dispositivo Médico Baseada em Segurança
Miomectomia Uterina/tendências
Neoplasias Uterinas/cirurgia
[Mh] Termos MeSH secundário: Adulto
Arizona
Estudos Transversais
Bases de Dados Factuais
Feminino
Florida
Seres Humanos
Histerectomia/instrumentação
Histerectomia/métodos
Kentucky
Laparoscopia/métodos
Meia-Idade
Análise Multivariada
New Jersey
Estados Unidos
United States Food and Drug Administration
Miomectomia Uterina/instrumentação
Miomectomia Uterina/métodos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002309


  10 / 9133 MEDLINE  
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[PMID]:28985883
[Au] Autor:Dalton MK; Fox NM; Porter JM; Hazelton JP
[Ad] Endereço:Division of Trauma, Department of Surgery, Cooper University Hospital, Camden, New Jersey. Electronic address: daltonm0@rowan.edu.
[Ti] Título:Outpatient follow-up does not prevent emergency department utilization by trauma patients.
[So] Source:J Surg Res;218:92-98, 2017 Oct.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although most trauma centers have a regularly scheduled trauma clinic, research demonstrates that trauma patients do not consistently attend follow-up appointments and often use the emergency department (ED) for outpatient care. METHODS: A retrospective review of outpatient follow-up of adult patients admitted to the trauma service (January 2014-December 2014) at an urban level I trauma center was conducted (n = 2134). RESULTS: A total of 219 patients (10%) were evaluated in trauma clinic after discharge from the hospital. Twenty-one percent of patients seen in trauma clinic visited the ED within 30 d compared with 12% of those not seen in clinic (P < 0.001). A total of 104 patients were readmitted within 30 d of discharge; no difference existed in the rate of hospital readmission between patients seen in clinic and those not seen in clinic (P = 0.25). Stepwise logistic regression showed that clinic follow-up was not a significant predictor of decreased ED utilization (adjusted odds ratio [OR] 1.16 [95% confidence interval 0.78-1.72], P = 0.461) and also showed that while ED use was a significant predictor of readmission (adjusted OR 216 [93-500], P < 0.001), clinic visits were not (adjusted OR 0.74 [0.33-1.69], P = 0.48). CONCLUSIONS: Outpatient follow-up in the trauma clinic does not decrease ED utilization or hospital readmissions indicating that interventions aimed at improving access to a conventional outpatient clinic will not impact ED utilization rates. Further study is necessary to determine the best system for providing clinically appropriate and cost-effective outpatient follow-up for trauma patients.
[Mh] Termos MeSH primário: Assistência ao Convalescente/utilização
Assistência Ambulatorial/utilização
Serviço Hospitalar de Emergência/utilização
Ferimentos e Lesões/terapia
[Mh] Termos MeSH secundário: Adulto
Assistência ao Convalescente/organização & administração
Assistência ao Convalescente/estatística & dados numéricos
Idoso
Idoso de 80 Anos ou mais
Assistência Ambulatorial/organização & administração
Assistência Ambulatorial/estatística & dados numéricos
Serviço Hospitalar de Emergência/estatística & dados numéricos
Feminino
Seguimentos
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
New Jersey
Readmissão do Paciente/estatística & dados numéricos
Estudos Retrospectivos
Centros de Traumatologia/organização & administração
Centros de Traumatologia/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE



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