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Félix S, de Lourdes M, Ribeiro I, Cunha B, Ramalho S, Vaz AR, Machado PPP, Conceição E. A preliminary study on the psychosocial impact of COVID-19 lockdown in post-bariatric surgery women: the importance of eating behavior, health care access, and social support. Curr Psychol 2021; 40:6275-6281. [PMID: 33679113 PMCID: PMC7914114 DOI: 10.1007/s12144-021-01529-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/19/2021] [Indexed: 12/11/2022]
Abstract
This study aims to characterize the psychosocial impact of COVID-19 lockdown for post-bariatric surgery (≥ 36 months) women and its association with disordered eating and psychological distress. The medium to long-time follow up is a period of increased susceptibility for poorer weight outcomes which might be triggered by the lockdown. Twenty-four participants responded to an online questionnaire and a telephone interview. About half (n = 14; 58.3%) reported perceived weight gain during the lockdown, 13 (54.1%) limited access to social support, and 12 (50%) limited access to medical care. Co-habiting with a higher number of persons during lockdown was associated with fewer difficulties in dealing with emotionally activating situations, less fear of gaining weight, less fear of losing control over eating, and less disordered eating. The global perceived psychosocial impact of lockdown was significantly correlated with difficulties in dealing with emotionally activating situations and stress symptoms. Results highlight the need to monitor post-bariatric patients, facilitate health care access, and promote social support during the lockdown period.
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Affiliation(s)
- Sílvia Félix
- School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal
| | - Marta de Lourdes
- School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal
| | - Inês Ribeiro
- School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal
| | - Bruna Cunha
- School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal
| | - Sofia Ramalho
- School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal
| | - Ana R Vaz
- School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal
| | - Paulo P P Machado
- School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal
| | - Eva Conceição
- School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal
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Cunha B. Visual dependence after vestibular rehabilitation by virtual reality in individuals with unilateral peripheral vestibular dysfunction – one year of results. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa040.028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction One of the most common approaches in individuals with unilateral peripheral vestibular dysfunction (UPVD) is vestibular rehabilitation (RV). Many factors can negatively affect the result of RV. Virtual reality based treatment may represent an important tool in the solution of these problems. In individuals with UPVD there is a decrease in the reception of vestibular stimuli and there is an adjustment in the reception of visual and proprioceptive stimuli. They use more visual cues to minimise the decrease in vestibular stimuli – visual dependence (VD). Although the importance and results of virtual reality as a tool in improving balance in individuals with UPVD have already been demonstrated, we intend to demonstrate that virtual reality allows significant improvements in the decrease in VD.
Objectives The aim of the study is to compare VD levels in individuals with UPVD after RV program by virtual reality.
Methodology For the evaluation of VD, dynamic posturography was performed with the Balance Rehabilition Unit equipment for 39 people with UPVD, before and after the RV program by virtual reality. Ten conditions were tested, with different visual and propriocetive stimuli. The parameters considered were the oscillation area of the pressure centre and the sway velocity.
Results In the parameter of the oscillation area of the pressure centre, statistically significant results were found in the 10 conditions tested. In the sway velocity parameter, statistically significant results were found in the condition 1, 2, 3, 4, 5 e 10.
Conclusion Virtual reality incorporated in the RV programs presents itself as an important tool in improving VD in individuals with UPVD.
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Affiliation(s)
- B Cunha
- Hospital da Luz, Póvoa de Varzim, Portugal
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Audiologia, Portugal
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Silva A, Cavalcante M, Ferraz M, Rizzo M, Fortes E, Cunha B, Carvalho M, Conde Júnior A. Papilar topografy and morphology of the tongue in the E. sexcinctus. ACTA ACUST UNITED AC 2018. [DOI: 10.4322/jms.087115] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Abstract
Introduction: The Six-banded armadillo (Euphractussexcintus) belongs to Cigunlata order, has diverse feeding habits and masticatory apparatus developed. The tongue, one of the major components of this equipment, has the mucosa papillae, taste buds and tongue glands. Materials and Methods: Six-banded armadillo were submitted to an anesthetic protocol with Tiletamine and zolazepan (Telazol®, Fortdotge, Brazil) and Sodium Thiopental (Thiopentax®, Cristália, Brazil), we proceeded to euthanasia using Potassium Chloride 19.1%, to then fix them in a 10% formaldehyde solution. The tongues were dissected and identified structures. For microscopic processing, segments from different parts of the tongue were subjected to histological routine and stained with hematoxylin-eosin and Masson. Results: The tongue of the six-banded armadillo presents three types of papillae: filiform, fungiform and vallate, with no conical buds and foliate. Still in the tongue mucosa, was observed mucous glands and various taste corpuscles. Some data differ from those same found in other wild animals that have been studied, but are similar to those of the same phylogenetic. Conclusion: The morphological characteristics of the six-banded armadillo's tongue are adapted to the difficulties faced by him during chewing, requiring the tongue, structures that provide you mobility, strength and sensitivity.
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Affiliation(s)
- A. Silva
- Laboratory Histotechnique, Sciences and Helth Mester Program Student, Department of Morphology, Universidade Federal do Piauí - UFPI, Campus Universitário Ministro Petrônio Portella, Av. Universitária, Ininga, CEP 64049-550, Teresina, PI, Brazil
| | - M. Cavalcante
- Laboratory Histotechnique, Sciences and Helth Mester Program Student, Department of Morphology, Universidade Federal do Piauí - UFPI, Campus Universitário Ministro Petrônio Portella, Av. Universitária, Ininga, CEP 64049-550, Teresina, PI, Brazil
| | - M. Ferraz
- Laboratory Histotechnique, Department of Morphology, Universidade Federal do Piauí - UFPI, Campus Universitário Ministro Petrônio Portella, Av. Universitária, Ininga, CEP 64049-550, Teresina, PI, Brazil
| | - M. Rizzo
- Laboratory Histotechnique, Department of Morphology, Universidade Federal do Piauí - UFPI, Campus Universitário Ministro Petrônio Portella, Av. Universitária, Ininga, CEP 64049-550, Teresina, PI, Brazil
| | - E. Fortes
- Laboratory Histotechnique, Department of Morphology, Universidade Federal do Piauí - UFPI, Campus Universitário Ministro Petrônio Portella, Av. Universitária, Ininga, CEP 64049-550, Teresina, PI, Brazil
| | - B. Cunha
- Laboratory Histotechnique, Sciences and Helth Mester Program Student, Department of Morphology, Universidade Federal do Piauí - UFPI, Campus Universitário Ministro Petrônio Portella, Av. Universitária, Ininga, CEP 64049-550, Teresina, PI, Brazil
| | - M. Carvalho
- Department of Veterinary Morphophysiology, Center for Research of Stem Cells, Universidade Federal do Piauí - UFPI, Campus Universitário Ministro Petrônio Portella, Av. Universitária, Ininga, CEP 64049-550, Teresina, PI, Brazil
| | - A. Conde Júnior
- Laboratory Histotechnique, Department of Morphology, Universidade Federal do Piauí - UFPI, Campus Universitário Ministro Petrônio Portella, Av. Universitária, Ininga, CEP 64049-550, Teresina, PI, Brazil
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Silva V, Cidrim K, Silva J, Cunha B, Jacob M, Fernandes E, Marino M, Soares L, Prado S, Andrade R, Ribeiro R, Aquino J. PNM-14 Group of Interdisciplinary Studies on Sexuality (GISS): An Experience of Collective Dialogue. J Sex Med 2017. [DOI: 10.1016/j.jsxm.2017.10.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Gigoski V, Cunha B, Ribas L. Process Diagnosis in Language: Beyond the Complaint. Int Arch Otorhinolaryngol 2014. [DOI: 10.1055/s-0034-1388729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Abstract
The limited amount of quantitative experimental data generated from life-science experiments poses a major challenge in systems biology. The reason for this is that many systems approaches, such as parameter estimation, simulation and sensitivity analysis make use of models or analyse quantitative data. However, these techniques are only of limited use if only qualitative or semi-quantitative information is available about a system. Therefore procedures that generate quantitative data from experiments in the life sciences can greatly expand the use of systems approaches to biological problems. This study addresses this issue as it introduces a procedure that computes quantitative transcription factor profiles from fluorescent microscopy data collected from green fluorescent protein (GFP) reporter cells. This technique forms a generalisation of a method that has recently been introduced for monitoring NF-B profiles. The contribution made in this work is that the assumption that the transcription factor profile exhibits damped oscillations is relaxed, as transcription factors, other than the previously investigated NF-B, may exhibit different profiles. This is achieved by investigating a variety of potential profiles and solving the inverse problem for the model describing transcription, translation and activation of GFP for each one. The transcription factor profile that results in the best fit among the potential candidates, for the measured fluorescent intensity data, is then chosen as the most likely concentration profile. The technique is illustrated in two detailed case studies, where one case study involves simulation data whereas the other one uses experimentally derived fluorescent intensity data.
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Affiliation(s)
- Z Huang
- Texas A&M University, Artie McFerrin Department of Chemical Engineering, College Station, USA
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Cunha B, Syed U, Strollo S. During the "herald wave" of the pandemic bacterial pneumonia relatively rare with fatal swine influenza (H1N1) pneumonia: if chest films have no focal segmental/lobar infiltrates, antibiotic therapy is unnecessary. J Chemother 2010; 21:584-9. [PMID: 19933051 DOI: 10.1179/joc.2009.21.5.584] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Affiliation(s)
- B Cunha
- Infectious Disease Division, Winthrop-University Hospital, Mineola, New York 11501, USA
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Abstract
BACKGROUND Endoscopic ultrasound (EUS)--guided fine-needle aspiration (FNA) is frequently performed for diagnostic evaluation of lesions in or near the gastrointestinal (GI) tract. Little data exist concerning possible infectious complications associated with EUS-guided FNA. This prospective evaluation was undertaken to determine the frequency of bacteremia and infectious complications associated with EUS-guided FNA. METHODS All patients undergoing EUS-guided FNA for any indication were enrolled in this study. Patients who required antibiotic prophylaxis as per the American Heart Association or American Society for Gastrointestinal Endoscopy guidelines were excluded from the study as were patients with cystic lesions, patients with advanced liver disease/ascites and those with human immunodeficiency virus/acquired immune deficiency syndrome. Blood cultures were obtained 30 and 60 minutes after the EUS-FNA. Patients were monitored for evidence of infection after procedure including telephone follow-up of each subject 1 week after procedure. RESULTS One hundred patients underwent EUS-FNA of 108 lesions. All blood cultures were negative except in 6 patients in whom 1 of 2 bottles were positive for coagulase negative Staphylococcus, which was considered a contaminant. There were no complications of acute febrile illness, abscess or other infections. CONCLUSION EUS-guided FNA was not associated with bacteremia or infectious complications.
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Affiliation(s)
- M Barawi
- Division of Gastroenterology, Winthrop-University Hospital, Mineola, NY 11501, USA
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Lancioni GE, O'Reilly MF, Seedhouse P, Furniss F, Cunha B. Promoting independent task performance by persons with severe developmental disabilities through a new computer-aided system. Behav Modif 2000; 24:700-18. [PMID: 11036735 DOI: 10.1177/0145445500245005] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study involved two experiments. In Experiment 1, a computer-aided system for promoting task performance by 6 persons with severe developmental disabilities was compared with a card system. The computer-aided system was portable and presented pictorial task instructions (one instruction per step) and prompts. In Experiment 2, the same system was used, but the number of instruction occasions was reduced. In one condition, the system presented all the instructions used in Experiment 1 but mostly in clusters rather than individually. In another, the system presented part of the Experiment 1 instructions. Three Experiment 1 participants also served in Experiment 2. Experiment 1 results indicated all 6 participants had higher percentages of correct steps with the computer system and preferred it to the card system. Experiment 2 results indicated that the condition in which the instructions were clustered was more effective for maintaining correct task performance. Implications of the findings were discussed.
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Affiliation(s)
- G E Lancioni
- Department of Psychology, University of Leiden, The Netherlands.
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Kalil RA, Albrecht A, Lima GG, Vasconcellos D, Cunha B, Hatem D, Moreno P, Abrahão R, Sant'Anna JR, Prates PR, Nesralla IA. Results of the surgical treatment of chronic atrial fibrillation. Arq Bras Cardiol 1999; 73:139-48. [PMID: 10752183 DOI: 10.1590/s0066-782x1999000800002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE Report clinical experience in surgical treatment of atrial fibrillation (AF) by Cox-maze procedure. METHODS 61 patients underwent surgical treatment for AF. Two had primary AF and 59 AF secondary to heart disease (2 atrial septal defects, 57 mitral). Ages ranged from 20 to 74 years (mean = 49). There were 44 females (72%). The surgical technique employed was Cox 3 without cryoablation. The patients were follow-up in specific at patient clinics and underwent periodical ECG, exercise tests, echocardiogram and Holter monitoring. RESULTS In-hospital mortality was 4.9% and late mortality 1.6%. A temporary pacemaker was used in 28 (46%) and a definitive in 7 patients (11.4%). On hospital discharge, AF remained in 17%; 63.9% had sinus rhythm, 6.9% atrial rhythm, 1.7% junctional rhythm, and 10.3% had pacemaker rhythm. In the last evaluation, AF was present in 19.5%; (70.5% sinus rhythm, 4% atrial rhythm, 2% atrial tachycardia, and 4% pacemaker rhythm). There was no report of thromboembolic episodes. Chronotropic response was considered adequate in 19%, intermediate in 29%, and inadequate in 42%. In Holter monitoring, the mean heart rate was 82 +/- 8 bpm, with a minimum of 57 +/- 7 bpm and maximum of 126 +/- 23 bpm, with supraventricular extrasystoles in 2.3 +/- 5.5% of the total heartbeats and ventricular extrasystoles in 0.8 +/- 0.5%. In the echocardiogram, the A wave was present in the left atrium in 87.5%. CONCLUSION Maze procedure is effective and has acceptable surgical risk. Atrial or sinus rhythms remain stable with a small but remarkable frequency of atrial and ventricular arrhythmias. Left atrial contraction is present, although attenuated, as well as the chronotropic response to exercise.
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Affiliation(s)
- R A Kalil
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Porto Alegre, Brazil
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Cunha B, Kalil RA, Albrecht AS, Lima GG, Kruse JC. Evaluation of the heart rate and arrhythmias following the maze procedure for chronic atrial fibrillation. Arq Bras Cardiol 1999; 72:607-14. [PMID: 10668231 DOI: 10.1590/s0066-782x1999000500008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
PURPOSE To assess the presence and the prevalence of arrhythmias and the variability of the heart rate in the medium-term postoperative period following the maze procedure for chronic atrial fibrillation (AF). METHODS Seventeen patients with a mean age of 51.7 +/- 12.9 years, who previously underwent the maze procedure without cryoablation for chronic atrial fibrillation, were evaluated with the 24 hour electrocardiogram (ECG)--Holter monitoring from the 6th month after the operation. Valvular and coronary procedures were concomitantly performed. RESULTS The mean heart rate during Holter monitoring was 82 +/- 8 bpm; the maximal heart rate was 126 +/- 23 bpm and the minimal heart rate 57 +/- 7 bpm. Sinus rhythm was found in 10 (59%) patients and atrial rhythm was found in 7 (41%). Supraventricular extrasystoles had a rate of 2.3 +/- 5.5% of the total number of heartbeats and occurred in 16 (94%) patients. Six (35%) patients showed nonsustained atrial tachycardia. Ventricular extrasystoles, with a rate of 0.8 +/- 0.5% of the total heartbeats, occurred in 14 (82%) patients. The chronotropic competence was normal in 9 (53%) patients and attenuated in 8 (47%). The atrioventricular conduction (AV) was unchanged in 13 (76%) patients and there were 4 (24%) cases of first degree atrioventricular block (AVB). CONCLUSION After the maze procedure, the values for the mean heart rate, AV conduction and chronotropic competence approach the normal range, although some cases show attenuation of the chronotropic response, first degree AV block or benign arrhythmias.
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Affiliation(s)
- B Cunha
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Brazil
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Lancioni GE, Van den Hof E, Furniss F, O'Reilly MF, Cunha B. Evaluation of a computer-aided system providing pictorial task instructions and prompts to people with severe intellectual disability. J Intellect Disabil Res 1999; 43 ( Pt 1):61-66. [PMID: 10088970 DOI: 10.1046/j.1365-2788.1999.43120165.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
The present study extended the evaluation of a computer-aided system providing pictorial instructions and prompts to promote task performance in people with severe intellectual disability. Four people were presented with two sets of tasks. The participants used the computer-aided system for one set and a card (control) system for the other. The results indicate that the computer-aided system was more effective than the card system with all participants. Three of the participants preferred the computer-aided system, while one favoured the card system.
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Shabas D, Gerard G, Cunha B, Malhotra V, Leeds N. MR imaging of AIDS myelitis. AJNR Am J Neuroradiol 1989; 10:S51-2. [PMID: 2505564 PMCID: PMC8333936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Affiliation(s)
- D Shabas
- Department of Neurology, Beth Israel Medical Center, New York, NY 10003
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Abstract
A case of biopsy documented subacute encephalopathy of AIDS was evaluated by CT and MRI. CT scanning revealed ventriculomegaly and ill-defined nonspecific periventricular white matter hypodensities. MRI, however, demonstrated extensive unequivocal diffuse white matter disease as the cause of the ventriculomegaly. MRI findings in this patient support the preliminary suggestion that MRI is more useful than computed tomography (CT) in demonstrating AIDS subacute encephalopathy.
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Gurevich I, Cunha B. Handwashing, food handling care limit diarrheal diseases. Hosp Employee Health 1983; 2:92-3. [PMID: 10262289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Gurevich I, Cunha B. Foodborne GI infections still a problem. Hosp Employee Health 1983; 2:64-7. [PMID: 10262285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Gurevich I, Cunha B. Protect hospital staff by identifying NANB hepatitis cases. Hosp Employee Health 1983; 2:40-1, 43. [PMID: 10258264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Gurevich I, Cunha B. Infection perspective: infections of the upper respiratory tract. Hosp Employee Health 1983; 2:12-3. [PMID: 10257889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Gurevich I, Cunha B. Rubella: infection perspective. Hosp Employee Health 1982; 1:149-50. [PMID: 10257104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Gurevich I, Cunha B. Infection perspective: influenza. Hosp Employee Health 1982; 1:118-9. [PMID: 10256537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Gurevich I, Cunha B. Infection perspective: meningitis. Hosp Employee Health 1982; 1:109-10. [PMID: 10256244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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