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143 records – page 1 of 15.

Source
Can Fam Physician. 2007 Dec;53(12):2147-8
Publication Type
Article
Date
Dec-2007
Author
Graham Worrall
Author Affiliation
Dr William H. Newhook Memorial Health Centre, Whitbourne, NL A0B 3K0. gworrall@mun.ca
Source
Can Fam Physician. 2007 Dec;53(12):2147-8
Date
Dec-2007
Language
English
Publication Type
Article
Keywords
Acute Disease
Anti-Bacterial Agents - therapeutic use
Canada - epidemiology
Child, Preschool
Diagnosis, Differential
Family Practice - methods
Humans
Incidence
Otitis Media - diagnosis - drug therapy - epidemiology
Otoscopy - methods
Prognosis
Notes
Cites: Cochrane Database Syst Rev. 2004;(1):CD00021914973951
Cites: Cochrane Database Syst Rev. 2000;(2):CD00109510796591
PubMed ID
18077757 View in PubMed
Less detail
Source
Can Fam Physician. 2007 Nov;53(11):1961-2
Publication Type
Article
Date
Nov-2007
Author
Graham J Worrall
Author Affiliation
Dr William H. Newhook Memorial Health Centre, Whitbourne, NL. gworrall@mun.ca
Source
Can Fam Physician. 2007 Nov;53(11):1961-2
Date
Nov-2007
Language
English
Publication Type
Article
Keywords
Acute Disease
Adolescent
Adult
Age Distribution
Anti-Bacterial Agents - therapeutic use
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Child
Child, Preschool
Family Practice - methods
Female
Humans
Incidence
Male
Newfoundland and Labrador - epidemiology
Pharyngitis - drug therapy - epidemiology - microbiology
Risk assessment
Sex Distribution
Streptococcal Infections - diagnosis - drug therapy - epidemiology
Streptococcus agalactiae - drug effects - isolation & purification
Treatment Outcome
Notes
Cites: Ann Intern Med. 2001 Mar 20;134(6):506-811255529
Cites: Cochrane Database Syst Rev. 2006;(4):CD00002317054126
Cites: CMAJ. 1998 Jan 13;158(1):75-839475915
Cites: Clin Infect Dis. 2002 Jul 15;35(2):113-2512087516
PubMed ID
18000276 View in PubMed
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Advance directives in family practice.

https://arctichealth.org/en/permalink/ahliterature221091
Source
Can Fam Physician. 1993 May;39:1087-93
Publication Type
Article
Date
May-1993
Author
N. Kohut
P A Singer
Author Affiliation
Centre for Bioethics, University of Toronto.
Source
Can Fam Physician. 1993 May;39:1087-93
Date
May-1993
Language
English
Publication Type
Article
Keywords
Advance Directives - legislation & jurisprudence
Attitude of Health Personnel
Attitude to Health
Canada
Communication
Decision Making
Family Practice - methods
Government Regulation
Humans
Internationality
Judicial Role
Patient Education as Topic - methods
Physician's Role
Abstract
Family physicians can play an important role in helping patients and their families to discuss life-sustaining treatments and to complete advance directives. This article reviews the legal status of, and empirical studies on, advance directives and addresses some important clinical questions about their use relevant to family practice.
Notes
Cites: CMAJ. 1992 Jun 1;146(11):1937-441596842
Cites: J Am Geriatr Soc. 1992 Mar;40(3):269-731538048
Cites: Am J Med. 1989 Jun;86(6):645-811659207
Cites: N Engl J Med. 1984 Apr 26;310(17):1115-66708993
Cites: N Engl J Med. 1986 Feb 13;314(7):457-603945276
Cites: J Gen Intern Med. 1986 Nov-Dec;1(6):373-93794836
Cites: Wis Med J. 1986 Oct;85(10):17-233798951
Cites: J Gen Intern Med. 1988 Jul-Aug;3(4):317-213404292
Cites: J Gen Intern Med. 1988 Jul-Aug;3(4):322-53042932
Cites: J Am Geriatr Soc. 1988 Sep;36(9):840-43411069
Cites: JAMA. 1989 Jun 9;261(22):3288-932636851
Cites: West J Med. 1989 Jun;150(6):705-72750162
Cites: JAMA. 1989 Nov 3;262(17):2415-92795827
Cites: N Engl J Med. 1991 Mar 28;324(13):889-952000111
Cites: N Engl J Med. 1991 Apr 25;324(17):1210-32011167
Cites: Adv Intern Med. 1991;36:57-792024588
Cites: J Am Geriatr Soc. 1993 Feb;41(2):112-68426030
PubMed ID
8499789 View in PubMed
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The American and Canadian consensus conferences on dementia: is there consensus?

https://arctichealth.org/en/permalink/ahliterature220587
Source
J Am Geriatr Soc. 1993 Aug;41(8):883-6
Publication Type
Article
Date
Aug-1993

[An effective intervention project for arterial hypertension screening in family medicine].

https://arctichealth.org/en/permalink/ahliterature223529
Source
Union Med Can. 1992 Jul-Aug;121(4):227-32
Publication Type
Article
Author
M. Aubin
L. Vézina
J P Fortin
P M Bernard
Author Affiliation
Unité de médecine familiale, Hôpital Laval, Sainte-Foy, Québec.
Source
Union Med Can. 1992 Jul-Aug;121(4):227-32
Language
French
Publication Type
Article
Keywords
Adolescent
Adult
Family Practice - methods - standards
Female
Health Services Research
Humans
Hypertension - epidemiology - prevention & control
Male
Mass Screening - methods - standards
Middle Aged
Quebec - epidemiology
Abstract
This study was carried out to assess the effectiveness of a preventive protocol in improving hypertension detection in a hospital-based family medicine unit. This protocol was planned and implemented by local practitioners and did not need any additional budgeting. Two distinct groups, each of 850 adults, were randomly selected from patients having consulted before and after the introduction of the protocol. Medical records were audited. Hypertension screening rate improved of 17.7% (p less than 0.00001) after the application of the preventive intervention. Furthermore, a 20.5% increase of the screening rate was estimated after adjustment by the logistic regression method, for characteristics related to patients and to practitioners. In conclusion, these findings support the hypothesis that this preventive protocol contributes to improve in family physicians their hypertension screening performance and they justify further assessment with a control group.
PubMed ID
1413291 View in PubMed
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Antibiotic prescribing in general practice: striking differences between Italy (Ravenna) and Denmark (Funen).

https://arctichealth.org/en/permalink/ahliterature31248
Source
J Antimicrob Chemother. 2002 Dec;50(6):989-97
Publication Type
Article
Date
Dec-2002
Author
Alberto Vaccheri
Lars Bjerrum
Davide Resi
Ulf Bergman
Nicola Montanaro
Author Affiliation
Interuniversity Research Centre on Pharmacoepidemiology, Department of Pharmacology, University of Bologna, Via Irnerio 48, I-40126 Bologna, Italy. vaccheri@biocfarm.unibo.it
Source
J Antimicrob Chemother. 2002 Dec;50(6):989-97
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Child
Child, Preschool
Comparative Study
Databases, Factual - statistics & numerical data
Denmark - epidemiology
Family Practice - methods - statistics & numerical data
Female
Humans
Infant
Infant, Newborn
Italy - epidemiology
Male
Middle Aged
Prescriptions, Drug - statistics & numerical data
Research Support, Non-U.S. Gov't
Sex Factors
Abstract
OBJECTIVE: To compare antibiotic prescribing in primary care in two European populations, one in Denmark (Funen), the other in Italy (Ravenna). METHODS: Reimbursement data (1999) were retrieved from the Odense Pharmacoepidemiologic Database (Denmark) and the Emilia Romagna Health Authority Database (Italy). The extent of antibiotic use (ATC J01) was analysed as the number of defined daily doses per 1000 inhabitants per day (DDD/1000 inhabitants/day), and as annual prevalence of use. A qualitative analysis was carried out according to the Drug Utilization 90% (DU90%) approach. RESULTS: Antibiotic consumption was 16.5 DDD/1000 inhabitants/day in Ravenna and 10.4 DDD/1000 inhabitants/day in Funen; the annual prevalence of use was 40 and 30 subjects/100 inhabitants, respectively. Italian children received a greater amount (four-fold in DDDs) of antibiotics than Danish ones, whereas consumption was only slightly higher in Italy than in Denmark in the other age groups. In Italy, injectable antibiotics (third generation cephalosporins or aminoglycosides) accounted for 4% of total DDDs and 11% of exposed subjects. In Funen, use of injectable antibiotics was negligible. The bulk of prescription (90% of total DDDs) was made up of eight (out of 38) different antibiotics in Denmark, mainly narrow-spectrum penicillins and macrolides (1st: phenoxymethylpenicillin), and of 18 (out of 74) antibiotics in Italy, mainly broad-spectrum penicillins, macrolides, fluoroquinolones and cephalosporins. CONCLUSIONS: These data show remarkable differences in antibiotic prescribing between Italy and Denmark, and suggest possible overuse and misuse of antibiotics in Italy.
PubMed ID
12461022 View in PubMed
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Approach to adolescent suicide prevention.

https://arctichealth.org/en/permalink/ahliterature141586
Source
Can Fam Physician. 2010 Aug;56(8):755-60
Publication Type
Article
Date
Aug-2010
Author
Marcia Kostenuik
Mohana Ratnapalan
Author Affiliation
Royal Victoria Hospital, Emergency Medicine, Barrie, ON L4M 4S2. marciek2001@hotmail.com
Source
Can Fam Physician. 2010 Aug;56(8):755-60
Date
Aug-2010
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adolescent
Canada
Child
Child Abuse - psychology
Confidentiality
Cross-Sectional Studies
Family Practice - methods
Female
Humans
Male
Parent-Child Relations
Parenting
Risk factors
Risk Reduction Behavior
Suicide - prevention & control - psychology
Young Adult
Abstract
To provide family physicians with an approach to suicide prevention in youth.
A literature review was performed using Ovid MEDLINE with the key words suicide, attempted suicide, and evaluation studies or program evaluation, adolescent.
Youth suicide might be prevented by earlier recognition and treatment of mental illness. Family physicians can and should screen for mental illness in youth; there are many diagnostic and treatment resources available to assist with this.
Earlier detection and treatment of mental illness are the most important ways family physicians can reduce morbidity and mortality for youth who are contemplating suicide.
Notes
Cites: Can J Psychiatry. 2006 Mar;51(3):129-3016618003
Cites: J Consult Clin Psychol. 2006 Feb;74(1):199-20616551158
Cites: Suicide Life Threat Behav. 2006 Oct;36(5):539-5217087633
Cites: J Clin Psychiatry. 2006 Oct;67(10):1599-60917107253
Cites: N Engl J Med. 2006 Dec 28;355(26):2717-917192534
Cites: Suicide Life Threat Behav. 2007 Apr;37(2):165-7817521270
Cites: Crisis. 2007;28(2):67-7317722687
Cites: Am J Psychiatry. 2007 Sep;164(9):1356-6317728420
Cites: Int J Ment Health Nurs. 2007 Oct;16(5):349-5917845554
Cites: Adolescence. 2007 Summer;42(166):265-8617849936
Cites: Arch Suicide Res. 2007;11(4):375-9017882625
Cites: Am J Psychiatry. 2006 Nov;163(11):1898-90417074941
Cites: Int J Psychiatry Med. 1999;29(2):149-6310587812
Cites: Aust N Z J Psychiatry. 2000 Jun;34(3):420-3610881966
Cites: Suicide Life Threat Behav. 2001 Spring;31 Suppl:60-8311326761
Cites: J Am Acad Child Adolesc Psychiatry. 2001 Jul;40(7):837-4611437023
Cites: Med J Aust. 2001 Nov 19;175(10):550-211795548
Cites: Suicide Life Threat Behav. 2002 Summer;32(2):176-9012079034
Cites: Int J Adolesc Med Health. 2002 Jan-Mar;14(1):55-6012467207
Cites: Crisis. 2002;23(1):17-2212650218
Cites: Can J Psychiatry. 2003 Jun;48(5):301-1012866335
Cites: Arch Gen Psychiatry. 2003 Oct;60(10):978-8214557142
Cites: J Adolesc Health. 2003 Nov;33(5):385-9414596960
Cites: Am J Epidemiol. 1990 Jan;131(1):71-82293755
Cites: Acta Psychiatr Scand. 1991 Dec;84(6):545-91792928
Cites: Acta Psychiatr Scand. 1994 Apr;89(4):246-548023691
Cites: MMWR Morb Mortal Wkly Rep. 1998 Apr 10;47(13):257-619565486
Cites: J Am Acad Child Adolesc Psychiatry. 1999 Mar;38(3):250-510087685
Cites: Am J Orthopsychiatry. 2005 Oct;75(4):676-8316262523
Cites: Am J Forensic Med Pathol. 2005 Dec;26(4):309-1516304461
Cites: CMAJ. 2006 Jan 17;174(2):193-20016415467
Cites: Taehan Kanho Hakhoe Chi. 2005 Dec;35(8):1433-4216415624
Comment In: Can Fam Physician. 2010 Dec;56(12):127621156889
PubMed ID
20705879 View in PubMed
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Are physicians changing the way they practise obstetrics?

https://arctichealth.org/en/permalink/ahliterature221765
Source
CMAJ. 1993 Feb 1;148(3):409-15
Publication Type
Article
Date
Feb-1-1993
Author
J. Ruderman
J C Carroll
A J Reid
M A Murray
Author Affiliation
Department of Family and Community Medicine, University of Toronto, Ont.
Source
CMAJ. 1993 Feb 1;148(3):409-15
Date
Feb-1-1993
Language
English
Publication Type
Article
Keywords
Anesthesia, Epidural - statistics & numerical data - trends
Delivery, Obstetric - statistics & numerical data - trends
Family Practice - methods - statistics & numerical data - trends
Female
Fetal Monitoring - statistics & numerical data - trends
Hospitals, Urban - statistics & numerical data - utilization
Humans
Obstetrics - methods - statistics & numerical data - trends
Obstetrics and Gynecology Department, Hospital - statistics & numerical data - utilization
Ontario
Physician's Practice Patterns - statistics & numerical data - trends
Pregnancy
Retrospective Studies
Utilization Review
Abstract
To examine trends in obstetric interventions in women at low risk over approximately 3 years. It was postulated that there would be a general reduction in most intervention rates.
Retrospective review of hospital records.
Three downtown hospitals of the University of Toronto, in which academic and nonacademic family physicians and obstetricians practised.
A total of 2365 women in phase 1 (April 1985 to March 1986) and 1277 in phase 2 (May to September 1988) met the inclusion criteria for grade A (pregnancy at no predictable risk) of the Ontario Antenatal Record at the time of admission to hospital.
Rates of artificial rupture of the membranes, induction, augmentation, epidural anesthesia, continuous electronic fetal monitoring (EFM), instrumental delivery, episiotomy and cesarean section.
The family physicians and the obstetricians had significant decreases (p
Notes
Cites: Lancet. 1979 Nov 24;2(8152):1117-991847
Cites: Br J Obstet Gynaecol. 1979 Oct;86(10):753-841567
Cites: Br J Obstet Gynaecol. 1980 May;87(5):408-127387941
Cites: Obstet Gynecol Surv. 1983 Jun;38(6):322-386346168
Cites: Obstet Gynecol. 1984 Apr;63(4):485-906700893
Cites: Am J Obstet Gynecol. 1984 Jun 1;149(3):327-366731510
Cites: Br Med J (Clin Res Ed). 1984 Sep 8;289(6445):587-906432201
Cites: JAMA. 1984 Dec 21;252(23):3273-66512931
Cites: Birth. 1986 Jun;13(2):119-213521654
Cites: J Fam Pract. 1987 Feb;24(2):159-643806027
Cites: CMAJ. 1987 May 15;136(10):1041-53567763
Cites: J Fam Pract. 1987 Sep;25(3):237-423305766
Cites: Acta Obstet Gynecol Scand. 1987;66(5):421-43425243
Cites: J Fam Pract. 1988 Aug;27(2):153-633042905
Cites: N Engl J Med. 1988 Dec 8;319(23):1511-63185675
Cites: CMAJ. 1989 Mar 15;140(6):625-332920336
Cites: N Engl J Med. 1989 Nov 9;321(19):1306-112677732
Cites: Fam Med. 1991 Mar-Apr;23(3):184-82016008
PubMed ID
8439912 View in PubMed
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Asthma control in Canada: no improvement since we last looked in 1999.

https://arctichealth.org/en/permalink/ahliterature161311
Source
Can Fam Physician. 2007 Apr;53(4):672-7
Publication Type
Article
Date
Apr-2007
Author
R Andrew McIvor
Louis-Philippe Boulet
J Mark FitzGerald
Sabrina Zimmerman
Kenneth R Chapman
Author Affiliation
McMaster University and Firestone Institute for Respiratory Health, St Joseph's Healthcare, 50 Charlton Ave E, Hamilton, ON L8N 4A6. amcivor@stjosham.on.ca
Source
Can Fam Physician. 2007 Apr;53(4):672-7
Date
Apr-2007
Language
English
Publication Type
Article
Keywords
Administration, Inhalation
Administration, Oral
Adolescent
Adult
Age Distribution
Anti-Asthmatic Agents - therapeutic use
Asthma - diagnosis - epidemiology - therapy
Canada
Confidence Intervals
Delivery of Health Care
Family Practice - methods
Female
Health Services Research
Hospitalization - statistics & numerical data
Humans
Male
Middle Aged
Patient Compliance - statistics & numerical data
Patient Education as Topic
Questionnaires
Risk assessment
Severity of Illness Index
Sex Distribution
Survival Analysis
Treatment Outcome
Abstract
To determine whether asthma control in Canada had improved since the last major survey in 1999 by exploring how well patients' asthma was controlled, how much they knew about asthma control, and how they used health care resources.
National telephone survey of patients between April and August 2004.
Canada.
Eight hundred ninety-three adults 18 to 54 years old diagnosed with asthma more than 6 months before the survey.
Patients' control of their asthma, patients' knowledge about asthma, the frequency and duration of periods of worsening asthma, and patients' use of health care resources to manage those periods.
In total, 26,210 households listed in a consumer database were contacted. Excluding ineligible households and households with a language barrier, a member of 13% of the households completed the 35-minute survey. Based on definitions in Canadian guidelines, 53% of patients had symptomatic uncontrolled asthma. In the previous year, almost all asthma patients had experienced worsening of symptoms that lasted on average 13.6 days for patients with uncontrolled asthma and 8.0 days for patients with controlled asthma (P
Notes
Cites: Int Arch Allergy Immunol. 2000;121 Suppl 1:I-VIII, 1-7710824704
Cites: Can Respir J. 2006 Jul-Aug;13(5):253-916896426
Cites: CMAJ. 1999 Nov 30;161(11 Suppl):S1-6110906907
Cites: Eur Respir J. 2000 Nov;16(5):802-711153575
Cites: Can Respir J. 2001 Mar-Apr;8 Suppl A:35A-40A11360046
Cites: Can Respir J. 2001 Mar-Apr;8 Suppl A:5A-27A11360044
Cites: Chest. 2002 Feb;121(2):329-3311834639
Cites: J Allergy Clin Immunol. 2003 Feb;111(2):263-812589343
Cites: Chest. 2004 Jan;125(1):93-714718426
Cites: Chest. 2004 Mar;125(3):1081-10215006973
Cites: Can Respir J. 2004 May-Jun;11 Suppl A:9A-18A15254605
Cites: Am J Med. 2004 Oct 1;117(7):479-8315464704
Cites: J Allergy Clin Immunol. 1990 Jun;85(6):1098-1112355155
Cites: Can Fam Physician. 1999 Jul;45:1707-1310424270
Cites: Chest. 2004 Nov;126(5):1495-50115539718
Comment In: Can Fam Physician. 2010 Oct;56(10):976-7, e355-620944031
PubMed ID
17872718 View in PubMed
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Breast cancer screening for women younger than 40.

https://arctichealth.org/en/permalink/ahliterature222074
Source
Can Fam Physician. 1993 Jan;39:65-72
Publication Type
Article
Date
Jan-1993
Author
A F Gili
Z. Poonja
B B Kalra
Author Affiliation
University of Alberta Hospital.
Source
Can Fam Physician. 1993 Jan;39:65-72
Date
Jan-1993
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Breast Neoplasms - diagnosis - epidemiology - prevention & control
Breast Self-Examination - utilization
Contraceptives, Oral - adverse effects
Family Practice - methods - standards
Female
Hospitals, Urban
Humans
Mammography - adverse effects - utilization
Mass Screening - methods - standards
Medical Audit
Ontario - epidemiology
Patient Education as Topic - standards
Physical Examination - utilization
Physician's Practice Patterns - statistics & numerical data
Retrospective Studies
Risk factors
Abstract
The charts of 661 women aged 15 to 39 revealed that almost 50% of teenage patients had had breast screening examinations. Most of the physicians and residents involved began performing and teaching breast examination to patients in their teens. Concerned that it might do more harm than good, the Canadian guidelines do not advocate early screening.
Notes
Cites: Cancer. 1988 Oct 15;62(8 Suppl):1781-33167792
Cites: Lancet. 1988 Jul 9;2(8602):74-62898701
Cites: Am J Epidemiol. 1989 Feb;129(2):269-802912040
Cites: Br J Cancer. 1988 Nov;58(5):675-803219280
Cites: Prev Med. 1988 Sep;17(5):643-523237662
Cites: Cancer. 1989 May 15;63(10):1873-802649218
Cites: Breast Cancer Res Treat. 1989 Jan;13(1):79-872706329
Cites: Br J Cancer. 1989 Apr;59(4):613-72713247
Cites: Cancer. 1989 Aug 1;64(3):591-72743253
Cites: Cancer. 1977 Apr;39(4 Suppl):1887-91856456
Cites: Ann Intern Med. 1989 Sep 1;111(5):389-992504094
Cites: J Natl Cancer Inst. 1989 Sep 6;81(17):1313-212769784
Cites: Arch Surg. 1989 Nov;124(11):1338-412554849
Cites: J Epidemiol Community Health. 1989 Jun;43(2):107-142512366
Cites: Prev Med. 1980 May;9(3):409-177208448
Cites: J Natl Cancer Inst. 1981 Nov;67(5):1011-56946243
Cites: Br J Cancer. 1983 Apr;47(4):455-626849791
Cites: Am J Public Health. 1983 Sep;73(9):1036-96881398
Cites: Lancet. 1983 Oct 22;2(8356):926-306138501
Cites: J Fam Pract. 1983 Dec;17(6):1029-346644252
Cites: J Natl Cancer Inst. 1984 Jan;72(1):39-426363789
Cites: Am J Epidemiol. 1984 Feb;119(2):167-766695896
Cites: Lancet. 1984 Jun 2;1(8388):1224-66144934
Cites: Lancet. 1985 Apr 13;1(8433):865-62858721
Cites: Can Med Assoc J. 1985 May 1;132(9):1013-53986725
Cites: Lancet. 1985 Sep 21;2(8456):654-72863641
Cites: Lancet. 1985 Nov 2;2(8462):970-32865503
Cites: Cancer. 1986 Feb 1;57(3):591-63942995
Cites: Int J Cancer. 1986 Oct 15;38(4):501-43093391
Cites: Lancet. 1986 Sep 20;2(8508):650-42876135
Cites: Br Med J (Clin Res Ed). 1986 Sep 20;293(6549):723-63094626
Cites: Obstet Gynecol. 1986 Dec;68(6):863-83785799
Cites: N C Med J. 1987 Oct;48(10):502-43479690
Cites: Br J Cancer. 1987 Nov;56(5):653-603426932
Cites: Arch Intern Med. 1988 May;148(5):1177-813365086
Cites: Cancer. 1989 Jan 1;63(1):188-952642730
PubMed ID
8435564 View in PubMed
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143 records – page 1 of 15.