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[PMID]:25816377
[Au] Autor:Ajiboye F; Dong F; Moore J; Kallail KJ; Baughman A
[Ad] Endereço:Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita, KS, USA.
[Ti] Título:Effects of revised consultation room design on patient-physician communication.
[So] Source:HERD;8(2):8-17, 2015.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the impact of a revised consultation room design on patient-physician interaction in an outpatient setting. BACKGROUND: The growth of ambulatory medical care makes outpatient facilities the primary point of health care contact for many Americans. However, the outpatient consultation room design remains largely unchanged, despite its increased use and the adoption of technology-mediated information sharing in clinical encounter. METHODS: A randomized controlled trial used a postvisit questionnaire to assess six domains of interest (satisfaction with the visit and the consultation room, mutual respect, patient trust in the physician, communication quality, people-room interaction, and interpersonal-room interaction) in two different room designs (a traditional room and an experimental room in which a pedestal table had replaced the examination table). RESULTS: Interpersonal-room interaction was enhanced in the experimental consultation room when compared to the traditional consultation room (p = .0038). Participants in the experimental consultation room had better access to the computer screen, increased provider information sharing, and more time engaging providers in conversation about information on the monitor. CONCLUSIONS: Changing the layout of a consultation room has the potential to improve interpersonal communication through better information sharing. Clinicians who are interested in maximizing the benefits of their clinical encounter should consider changing the layout of their consultation room, especially the positioning of the computer screen.
[Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial
Decoração de Interiores e Mobiliário
Visita a Consultório Médico
Satisfação do Paciente/estatística & dados numéricos
Assistência Centrada no Paciente/organização & administração
Relações Médico-Paciente
[Mh] Termos MeSH secundário: Idoso
Comunicação
Projeto Arquitetônico Baseado em Evidências
Feminino
Seres Humanos
Kansas
Masculino
Meia-Idade
Assistência Centrada no Paciente/métodos
Inquéritos e Questionários
Confiança
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/1937586714565604


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[PMID]:28876987
[Au] Autor:Englar RE
[Ti] Título:A Novel Approach to Simulation-Based Education for Veterinary Medical Communication Training Over Eight Consecutive Pre-Clinical Quarters.
[So] Source:J Vet Med Educ;44(3):502-522, 2017.
[Is] ISSN:0748-321X
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:Experiential learning through the use of standardized patients (SPs) is the primary way by which human medical schools teach clinical communication. The profession of veterinary medicine has followed suit in response to new graduates' and their employers' concerns that veterinary interpersonal skills are weak and unsatisfactory. As a result, standardized clients (SCs) are increasingly relied upon as invaluable teaching tools within veterinary curricula to advance relationship-centered care in the context of a clinical scenario. However, there is little to no uniformity in the approach that various colleges of veterinary medicine take when designing simulation-based education (SBE). A further complication is that programs with pre-conceived curricula must now make room for training in clinical communication. Curricular time constraints challenge veterinary colleges to individually decide how best to utilize SCs in what time is available. Because it is a new program, Midwestern University College of Veterinary Medicine (MWU CVM) has had the flexibility and the freedom to prioritize an innovative approach to SBE. The author discusses the SBE that is currently underway at MWU CVM, which incorporates 27 standardized client encounters over eight consecutive pre-clinical quarters. Prior to entering clinical rotations, MWU CVM students are exposed to a variety of simulation formats, species, clients, settings, presenting complaints, and communication tasks. These represent key learning opportunities for students to practice clinical communication, develop self-awareness, and strategize their approach to future clinical experiences.
[Mh] Termos MeSH primário: Comunicação
Currículo/tendências
Educação em Veterinária/organização & administração
Faculdades de Medicina Veterinária/organização & administração
Treinamento por Simulação
[Mh] Termos MeSH secundário: Educação em Veterinária/normas
Seres Humanos
Kansas
Avaliação de Programas e Projetos de Saúde
Faculdades de Medicina Veterinária/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171207
[Lr] Data última revisão:
171207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170907
[St] Status:MEDLINE
[do] DOI:10.3138/jvme.0716-118R1


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[PMID]:28925239
[Au] Autor:Reddy PJ
[Ti] Título:A rural surgeon looks back on his experiences.
[So] Source:Bull Am Coll Surg;102(2):43-5, 2017 02.
[Is] ISSN:0002-8045
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cirurgia Geral
Serviços de Saúde Rural
Cirurgiões/psicologia
[Mh] Termos MeSH secundário: Escolha da Profissão
Seres Humanos
Kansas
Área de Atuação Profissional
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170920
[St] Status:MEDLINE


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[PMID]:28854661
[Au] Autor:Girvin J; Whitworth RJ; Rojas LMA; Smith CM
[Ad] Endereço:USDA-APHIS-PPQ, Federal Way, WA 98003.
[Ti] Título:Resistance of Select Winter Wheat (Triticum aestivum) Cultivars to Rhopalosiphum padi (Hemiptera: Aphididae).
[So] Source:J Econ Entomol;110(4):1886-1889, 2017 Aug 01.
[Is] ISSN:1938-291X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The bird cherry-oat aphid (Rhopalosiphum padi L.) is a global pest of wheat and vectors some of the most damaging strains of barley yellow dwarf virus (BYDV). In years of heavy R. padi infestation, R. padi and BYDV together reduce wheat yields by 30-40% in Kansas and other states of the U.S. Great Plains wheat production area. Cultivation of wheat cultivars resistant to R. padi can greatly reduce production costs and mitigate R. padi-BYDV yield losses, and increase producer profits. This study identified cultivars of hard red and soft white winter wheat with R. padi resistance that suppress R. padi populations or tolerate the effects of R. padi feeding damage. 'Pioneer (S) 25R40,' 'MFA (S) 2248,' 'Pioneer (S) 25R77,' and 'Limagrain LCS Mint' significantly reduced R. padi populations. MFA (S) 2248, Pioneer (S) 25R40, and 'Limagrain LS Wizard' exhibited tolerance expressed as significantly greater aboveground biomass. These findings are significant in that they have identified wheat cultivars currently available to producers, enabling the immediate improvement of tactics to manage R. padi and BYDV in heavily infested areas. Secondarily, these results identify cultivars that are good candidates for use in breeding and genetic analyses of arthropod resistance genes in wheat.
[Mh] Termos MeSH primário: Antibiose
Afídeos/fisiologia
Herbivoria
Triticum/fisiologia
[Mh] Termos MeSH secundário: Animais
Kansas
Luteovirus/fisiologia
Doenças das Plantas/prevenção & controle
Doenças das Plantas/virologia
Triticum/genética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1093/jee/tox164


  5 / 3767 MEDLINE  
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[PMID]:28823242
[Au] Autor:Vaughn WM; Bunde PK; Remick-Erickson K; Rebeck S; Denny D
[Ti] Título:Forging Multidisciplinary Collaboration to Improve Mental/Behavioral Health.
[So] Source:NASN Sch Nurse;32(5):298-301, 2017 Sep.
[Is] ISSN:1942-6038
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Five Johnson and Johnson fellows validated the lack of communication regarding students with mental/behavioral health issues and took a leadership position within their school district to address the problem. An open-ended survey revealed inconsistent and fragmented support given to students with mental/behavioral health concerns. A multidisciplinary task force was formed consisting of stakeholders including district and nondistrict community members. The procedure for district staff to address students' behavioral/mental health concerns was adapted by representatives from all stakeholders and was distributed district wide and uploaded to the district's staff website for general access. Training of district employees in Youth Mental Health First Aid has provided the foundation for communicating and implementing a standardized approach for identifying, responding, and referring students with mental/behavioral health concerns. Open dialog, better communication and understanding of disciplines, and more initiatives aimed at improving the mental health of all students has resulted from the collaboration started with this initiative.
[Mh] Termos MeSH primário: Transtornos Mentais/prevenção & controle
Equipe de Assistência ao Paciente
Serviços de Enfermagem Escolar
Estudantes/psicologia
Transtornos Relacionados ao Uso de Substâncias/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Criança
Seres Humanos
Kansas
Transtornos Mentais/enfermagem
Encaminhamento e Consulta
Serviços de Saúde Escolar
Transtornos Relacionados ao Uso de Substâncias/enfermagem
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170822
[St] Status:MEDLINE
[do] DOI:10.1177/1942602X16689664


  6 / 3767 MEDLINE  
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[PMID]:28646820
[Au] Autor:Fry J; Keim R
[Ad] Endereço:Fry Orthodontic Specialists, Overland Park, KS. jeremyfryortho@gmail.com.
[Ti] Título:Practice Profile: Jeremy Fry, DDS, MS, Fry Orthodontic Specialists.
[So] Source:J Clin Orthod;51(3):167-172, 2017 Mar.
[Is] ISSN:0022-3875
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ortodontistas
[Mh] Termos MeSH secundário: Seres Humanos
Kansas
Administração da Prática Odontológica
[Pt] Tipo de publicação:INTERVIEW; PORTRAITS
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170727
[Lr] Data última revisão:
170727
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170625
[St] Status:MEDLINE


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[PMID]:28406884
[Au] Autor:Holzschuh EL; Province S; Johnson K; Walls C; Shemwell C; Martin G; Showalter A; Dunlay J; Conyers A; Griffin P; Tausz N
[Ti] Título:Use of Video Directly Observed Therapy for Treatment of Latent Tuberculosis Infection - Johnson County, Kansas, 2015.
[So] Source:MMWR Morb Mortal Wkly Rep;66(14):387-389, 2017 Apr 14.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Tuberculosis (TB) is caused by the bacterium Mycobacterium tuberculosis and is spread from person to person through the air. TB can be spread in congregate settings, such as school environments, to varying degrees, based on factors including duration of contact and air ventilation (1); therefore, evaluating potential contacts and exposures can be challenging. In February 2015, a student at a Kansas high school received a diagnosis of active pulmonary TB disease. Screening of 385 (91%) school contacts, four (100%) household contacts, and 19 (90%) social contacts resulted in the identification of 50 persons with latent TB infection. Johnson County Department of Health and Environment (JCDHE) Public Health Emergency Preparedness personnel used their experience with points of distribution logistics to optimize testing clinic layouts and implement the incident command structure. Open communication with students, school staff members, the public, and the media about the investigation from the outset was imperative to reduce rumors and unease that can accompany a large communicable disease investigation. The large number of persons needing treatment for latent TB overwhelmed JCDHE's two TB nurses. As a result, JCDHE developed a policy and procedure to allow persons who met eligibility requirements to complete 12 weekly doses of isoniazid and rifapentine treatment using video directly observed therapy (VDOT) rather than traditional in-person directly observed therapy (DOT). This procedure facilitated treatment compliance and completion; among the eligible 15 persons who chose the 12-week VDOT option, 14 (93%) completed treatment. State and local health departments might consider use of VDOT to monitor treatment of persons with latent TB infection.
[Mh] Termos MeSH primário: Terapia Diretamente Observada/métodos
Tuberculose Latente/terapia
Telemedicina/métodos
Videoconferência
[Mh] Termos MeSH secundário: Antituberculosos/uso terapêutico
Busca de Comunicante
Seres Humanos
Isoniazida/uso terapêutico
Kansas
Tuberculose Latente/diagnóstico
Mycobacterium tuberculosis/isolamento & purificação
Cooperação do Paciente/estatística & dados numéricos
Rifampina/análogos & derivados
Rifampina/uso terapêutico
Instituições Acadêmicas
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antitubercular Agents); V83O1VOZ8L (Isoniazid); VJT6J7R4TR (Rifampin); XJM390A33U (rifapentine)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170421
[Lr] Data última revisão:
170421
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6614a3


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[PMID]:28403462
[Au] Autor:Scheuermann TS; Richter KP; Jacobson LT; Shireman TI
[Ad] Endereço:Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS.
[Ti] Título:Medicaid Coverage of Smoking Cessation Counseling and Medication Is Underutilized for Pregnant Women.
[So] Source:Nicotine Tob Res;19(5):656-659, 2017 May 01.
[Is] ISSN:1469-994X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Introduction: Policies to promote smoking cessation among Medicaid-insured pregnant women have the potential to assist a significant proportion of pregnant smokers. In 2010, Kansas Medicaid began covering smoking cessation counseling for pregnant smokers. Our aim was to evaluate the use of smoking cessation benefits provided to pregnant women as a result of the Kansas Medicaid policy change that provided reimbursement for physician-provided smoking cessation counseling. Methods: We examined Kansas Medicaid claims data to estimate rates of delivery of smoking cessation treatment to Medicaid-insured pregnant women in Kansas from fiscal year 2010 through 2013. We analyzed the number of pregnant women who received physician-provided smoking cessation counseling indicated by procedure billing codes (ie, G0436 and G0437) and medication (ie, nicotine replacement therapy, bupropion, or varenicline) located in outpatient managed care encounter and fee-for-service claims data. We estimated the number of Medicaid-insured pregnant smokers using the national smoking prevalence (14%) in this population and the number of live births reported in Kansas. Results: Annually from 2010 to 2013, approximately 27.2%-31.6% of pregnant smokers had claims for nicotine replacement therapy, bupropion, or varenicline. Excluding claims for bupropion, a medication commonly prescribed to treat depression, claims ranged from 9.3% to 11.1%. Following implementation of Medicaid coverage for smoking cessation counseling, less than 1% of estimated smokers had claims for counseling. Conclusions: This low claims rate suggests that simply changing policy is not sufficient to ensure use of newly implemented benefits, and that there probably remain critical gaps in smoking cessation treatment. Implications: This study evaluates the use of Medicaid reimbursement for smoking cessation counseling among low-income pregnant women in Kansas. We describe the Medicaid claims rates of physician-provided smoking cessation counseling for pregnant women, an evidence-based and universally recommended treatment approach for smoking cessation in this population. Our findings show that claims rates for smoking cessation benefits in this population are very low, even after policy changes to support provision of cessation assistance were implemented. Additional studies are needed to determine whether reimbursement is functioning as intended and identify potential gaps between policy and implementation of evidence-based smoking cessation treatment.
[Mh] Termos MeSH primário: Bupropiona/uso terapêutico
Aconselhamento/utilização
Inibidores da Captação de Dopamina/uso terapêutico
Agonistas Nicotínicos/uso terapêutico
Abandono do Hábito de Fumar/estatística & dados numéricos
Fumar/terapia
Produtos para o Abandono do Uso de Tabaco/utilização
Vareniclina/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Bases de Dados Factuais
Feminino
Seres Humanos
Cobertura do Seguro
Kansas
Medicaid
Pobreza
Gravidez
Gestantes
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dopamine Uptake Inhibitors); 0 (Nicotinic Agonists); 01ZG3TPX31 (Bupropion); W6HS99O8ZO (Varenicline)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170602
[Lr] Data última revisão:
170602
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1093/ntr/ntw263


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[PMID]:28380604
[Au] Autor:Dunkelberger JR; Serão NV; Niederwerder MC; Kerrigan MA; Lunney JK; Rowland RR; Dekkers JC
[Ti] Título:Effect of a major quantitative trait locus for porcine reproductive and respiratory syndrome (PRRS) resistance on response to coinfection with PRRS virus and porcine circovirus type 2b (PCV2b) in commercial pigs, with or without prior vaccination for PRRS.
[So] Source:J Anim Sci;95(2):584-598, 2017 Feb.
[Is] ISSN:1525-3163
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A major QTL for host response to porcine reproductive and respiratory syndrome (PRRS) virus (PRRSV) infection was identified in a previous study. Single nucleotide polymorphism WUR10000125 (WUR), which is in complete linkage disequilibrium with the putative causative mutation, can be used as a tag SNP for the QTL. However, the effect of WUR following PRRS vaccination and/or coinfection with other pathogens is not known. Therefore, objectives of this study were to estimate the effect of WUR on host response following PRRS vaccination and coinfection of PRRSV with porcine circovirus type 2b (PCV2b), to estimate genetic parameters for host response to vaccination and coinfection, and to estimate the effect of previously identified candidate SNP under PRRSV-only or PCV2b-only infection on host response to coinfection. Data from 2 trials, comprising a total of 396 commercial crossbred nursery pigs from a single genetic source, were used for all analyses. Pigs were preselected based on WUR genotype: approximately half AA and half AB, where B is the favorable and dominant allele. At weaning, pigs were shipped to Kansas State University, where half of the pigs were vaccinated with a PRRS modified live virus vaccine. Four weeks later, all pigs were coinfected with field strains of PRRSV and PCV2b and followed for 42 d. Body weight and serum viremia measurements were collected following vaccination and coinfection to calculate ADG and viral load (VL), respectively. Average heritability estimates for PRRS VL, PCV2b VL, and ADG were 0.29, 0.09, and 0.40, respectively. After vaccination, AB pigs had lower vaccination VL ( = 0.03) and faster gain ( = 0.004) than AA pigs, as expected. After coinfection, AB pigs had lower PRRSV VL ( < 0.001) but did not significantly differ from AA pigs in growth rate ( = 0.86). For PCV2b VL, suggestive evidence of an interaction between vaccination and WUR genotype ( = 0.11) was detected, where AB pigs had significantly lower PCV2b VL when vaccinated ( = 0.007) but not when they were not vaccinated ( = 0.87). In addition to WUR, several PRRS-associated SNP and a PCV2b-associated SNP had significant effects on host response to coinfection. In conclusion, marker-assisted selection based on WUR genotype alone, or along with other candidate SNP for PRRSV and PCV2b infection, is a promising strategy to select for improved host response to not just PRRS but also coinfection of PRRSV with PCV2b and perhaps other pathogens.
[Mh] Termos MeSH primário: Infecções por Circoviridae/veterinária
Circovirus/imunologia
Síndrome Respiratória e Reprodutiva Suína/imunologia
Vírus da Síndrome Respiratória e Reprodutiva Suína/imunologia
Locos de Características Quantitativas/genética
Doenças dos Suínos/imunologia
[Mh] Termos MeSH secundário: Animais
Infecções por Circoviridae/complicações
Infecções por Circoviridae/imunologia
Coinfecção/veterinária
Feminino
Genótipo
Kansas
Masculino
Polimorfismo de Nucleotídeo Único/genética
Síndrome Respiratória e Reprodutiva Suína/genética
Suínos
Doenças dos Suínos/genética
Doenças dos Suínos/virologia
Vacinação/veterinária
Carga Viral/veterinária
Viremia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170802
[Lr] Data última revisão:
170802
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE
[do] DOI:10.2527/jas.2016.1071


  10 / 3767 MEDLINE  
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[PMID]:28375795
[Au] Autor:Williamson HJ; Perkins EA; Levin BL; Baldwin JA; Lulinski A; Armstrong MI; Massey OT
[Ad] Endereço:Heather J. Williamson, Northern Arizona University College of Health and Human Services.
[Ti] Título:Implementation of Medicaid Managed Long-Term Services and Supports for Adults With Intellectual and/or Developmental Disabilities in Kansas.
[So] Source:Intellect Dev Disabil;55(2):84-96, 2017 Apr.
[Is] ISSN:1934-9556
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Many adults with intellectual and/or developmental disabilities (IDD) can access health and long-term services and supports (LTSS) through Medicaid. States are reforming their Medicaid LTSS programs from a fee-for-service model to a Medicaid managed LTSS (MLTSS) approach, anticipating improved quality of care and reduced costs, although there is limited evidence of MLTSS effectiveness. This study's objective was to contribute to the growing MLTSS research literature by describing MLTSS implementation in Kansas for adults with IDD. Thirty-one stakeholders completed in-depth semi-structured interviews, representing state or regional groups, service coordination providers, and family caregivers. Findings identify key aspects of the Centers for Medicare and Medicaid Services' new MLTSS regulations in the design and implementation of MLTSS programs.
[Mh] Termos MeSH primário: Deficiências do Desenvolvimento/terapia
Necessidades e Demandas de Serviços de Saúde
Deficiência Intelectual/terapia
Programas de Assistência Gerenciada
Medicaid
[Mh] Termos MeSH secundário: Adulto
Benchmarking
Política de Saúde
Seres Humanos
Kansas
Assistência de Longa Duração
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170515
[Lr] Data última revisão:
170515
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE
[do] DOI:10.1352/1934-9556-55.2.84



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