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| [[Image:Main_help_page_small.PNG|100px|link=Help]] | | {{Critical pathways project}} |
| [[Image:Projects.PNG|100px|link=Projects]] | | [[Image:Main_help_page_small.PNG|100px|link=Help]][[Image:Projects.PNG|100px|link=Projects]][[Image:Editor's_Tools.PNG|100px|link=Help Menu]] |
| [[Image:Editor's_Tools.PNG|100px|link=Help Menu]] | |
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| {{CMG}}; {{AE}} {{AO}} | | {{CMG}}; {{AE}} {{AO}} |
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| ==Overview== | | ==Overview== |
| The critical pathways project is focused on creating standardized treatment protocols for the management of medical conditions by applying evidence-based medical approaches to patient care. With the use of critical pathways, a health care giver can rapidly determine the treatment goals of a specific medical condition and institute appropriate actions in a chronological sequence with optimal efficiency. This project is intended for interns, residents, attending physicians, hospitalists, specialists, nurses, nurse practitioners, and physician assistants to contribute their expertise. This project aims at improving the quality of making diagnoses and treating medical conditions, reducing the variability in treatment, and to improve the overall quality of patient care. WikiDoc welcomes your involvement in contributing to this project.
| | Critical pathways are multidisciplinary management tools based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced. The use of critical pathways in hospitals have been proven to improve the quality of care to patients, reduce the cost of care and reduce the length of hospital stay.<ref name="Renholm-2002">{{Cite journal | last1 = Renholm | first1 = M. | last2 = Leino-Kilpi | first2 = H. | last3 = Suominen | first3 = T. | title = Critical pathways. A systematic review. | journal = J Nurs Adm | volume = 32 | issue = 4 | pages = 196-202 | month = Apr | year = 2002 | doi = | PMID = 11984255 }}</ref> WikiDoc is proud to engage in such a project. |
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| ==Goals==
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| *To improve the quality of making diagnoses and treating medical conditions.
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| *To standardize health care processes.
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| *To reduce the occurrence of medical errors.
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| *To optimize treatment outcomes in acute and home care settings.
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| *To limit the over-utilization of health care resources thereby reducing cost.
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| *To improve the overall quality of health care.
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| ==Who Can Contribute?==
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| The critical pathways project is intended for health professionals with a good medical knowledge, and preferably, with a prior residency training and experience. You are welcome to apply if you are an intern, resident, attending physician, specialist, nurse or a nurse practitioner. You will be required to function as an Associate Editor-in Chief at WikiDoc.
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| ==How to Get Started==
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| ===Select a Topic===
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| A topic of interest is selected from the Resident Survival Guide page and a name is assigned next to it. Click [[Resident survival guide|here]] to select a topic.
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| {| class="wikitable sortable"
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| !Topic
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| !Resident Survival Guide Page
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| !Authorship
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| |[[Abdominal pain]]||[[Abdominal pain resident survival guide]]|| (Add name here)
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| |[[Liver function tests|Abnormal Liver function tests]]||[[Abnormal Liver function tests resident survival guide]]||
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| |-
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| |[[Acetaminophen overdose]]||[[Acetaminophen overdose resident survival guide]]||
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| |-
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| |[[Acidosis]]||[[Acidosis resident survival guide]]||
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| |[[Acute coronary syndrome]]||[[Acute coronary syndrome resident survival guide]]||
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| |[[Acute decompensated heart failure]]||[[Acute decompensated heart failure resident survival guide]]||
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| |-
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| |}
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| ===Next Steps===
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| <div class="mw-collapsible mw-collapsed">
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| * Use the algorithm in the Resident Survival Guide of the selected topic as reference.
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| <div class="mw-collapsible-content"> | |
| {{familytree/start |summary=PE diagnosis Algorithm.}} | |
| {{familytree | | | | | | | | A01 |A01= First branching point}}
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| {{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }}
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| {{familytree | | | B01 | | | | | | | | B02 | | |B01= Answer 1 |B02= Answer 2}}
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| {{familytree | | | |!| | | | | | | | | |!| }}
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| {{familytree | | | C01 | | | | | | | | |!| |C01= }}
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| {{familytree | |,|-|^|.| | | | | | | | |!| }}
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| {{familytree | D01 | | D02 | | | | | | D03 |D01= |D02= |D03= }}
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| {{familytree | |!| | | | | | | | | |,|-|^|.| }}
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| {{familytree | E01 | | | | | | | E02 | | | E03 |E01= |E02= |E03= }}
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| {{familytree | | | | | | | | | | |!| | | | |!| }}
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| {{familytree | | | | | | | | | | F01 | | | F02 |F01= |F02= }}
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| {{familytree/end}}
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| </div></div>
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| * Use the first branching point on the algorithm as a guide for constructing the first question.
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| * Provide answers to the question. There could be two or more answers to this question.
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| * Link provided answers to corresponding pages on WikiDoc.
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| * Give Definitions and Action Items for the first question. Please add references when necessary.
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| * Use the second branching point after each answer as a reference for the second question.
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| * Repeat steps 3, 4, and 5.
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| * After the completion of the critical pathways, please add the Critical Pathways icon to the topic on the '''Main Page'''.
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| ==Structure of the Critical Pathways==
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| The structure of the critical pathways looks like this:
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| {|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
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| | BGCOLOR=FLORALWHITE | Topic from the resident survival guide
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| |}
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| {|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
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| | BGCOLOR=FLORALWHITE STYLE="WIDTH:50%"| First question || BGCOLOR=LIGHTGRAY STYLE="WIDTH:25%" | Answer 1 ||BGCOLOR=LIGHTGRAY STYLE="WIDTH:25%" | Answer 2
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| |}
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| ==Definition==
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| The definition of the answers must be provided and referenced when possible. For example:
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| [[Metabolic acidosis]] is a state in which the blood [[pH]] is less than 7.35 due to increased production of H<sup>+</sup> by the body or the inability of the body to form [[bicarbonate]] (HCO3<sup>-</sup>) in the kidney.
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| [[Anion gap]]= [Na<sup>+</sup>] - [Cl<sup>-</sup>] - [HCO3<sup>-</sup>
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| Normal reference range for anion gap is between 8 and 16 meq/L.<ref name="isbn0-683-18272-2">{{cite book | author = Benjamin Abelow | authorlink = | editor =| others = | title = Understanding acid-base | edition = | language = | publisher = Williams & Wilkins | location = Baltimore | year = 1998 | origyear = |pages = | quote = | isbn = 0-683-18272-2 | oclc = | doi = | url = | accessdate = }}</ref><ref name="isbn1-4160-3105-7">{{cite book | author = Rector, Floyd C.; Brenner, Barry M. | authorlink = | editor = | others = | title = Brenner & Rector's the kidney | edition = | language = | publisher = Saunders Elsevier |location = | year = 2008 | origyear = | pages = | quote = | isbn = 1-4160-3105-7 | oclc = | doi = | url = | accessdate = }}</ref>
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| ==Action Items==
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| *This involves determining the next step to take in the patient management. For example: Should I check for respiratory compensation in the case of metabolic acidosis or not? Should I administer bicarbonate or not?
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| ==References==
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| {{Reflist|2}}
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| ==Resources==
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| <div class="mw-collapsible mw-collapsed">
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| * Wikicode for Icons
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| <div class="mw-collapsible-content">
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| <pre>
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| __NOTOC__
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| {| class="infobox" style="float:right;"
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| | [[File:Siren.gif|30px|link={{PAGENAME}} resident survival guide]]|| <br> || <br>
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| | [[{{PAGENAME}} resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
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| |}
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| {| class="infobox" style="float:right;"
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| | [[File:Critical_Pathways.gif|88px|link={{PAGENAME}} critical pathways]]|| <br> || <br>
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| |}
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| </pre>
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| </div></div>
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| <div class="mw-collapsible mw-collapsed">
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| * Wikicode for Critical Pathways
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| <div class="mw-collapsible-content">
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| <pre>
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| __NOTOC__
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| {{CMG}}
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| ==Critical Pathways==
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| {|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
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| | BGCOLOR=FLORALWHITE | {{Smallcaps|[[{{PAGENAME}} critical pathways|{{PAGENAME}} critical pathways]]}}
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| |}
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| {|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
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| | BGCOLOR=FLORALWHITE STYLE="WIDTH:50%"| Critical Point 1 || BGCOLOR=MEDIUMAQUAMARINE STYLE="WIDTH:25%" | [[{{PAGENAME}} A critical pathways|A]] ||BGCOLOR=LIGHTGRAY STYLE="WIDTH:25%" | [[{{PAGENAMEE}} B critical pathways|B]]
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| |}
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| {|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
| | ==Statement of Need== |
| | BGCOLOR=FLORALWHITE STYLE="WIDTH:50%" | Critical Point 2 || BGCOLOR=MEDIUMAQUAMARINE STYLE="WIDTH:25%" | [[{{PAGENAME}} A1 critical pathways|A1]] ||BGCOLOR=LIGHTGRAY STYLE="WIDTH:25%" | [[{{PAGENAMEE}} A2 critical pathways|A2]]
| | Health care has undergone rapid changes over the years. The world of medicine is rapidly evolving and there is the need of a tool to improve the quality of health care administered to patients with the aim of reducing the cost of health care, standardizing health care processes, reducing the occurrence of medical errors and optimizing the treatment outcomes both in the acute and home care settings. |
| |}
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| ==Definition== | | ==How Can WikiDoc Meet These Needs?== |
| | The WikiDoc team has come up with the 'critical pathways project' intended to solve these problems. The critical pathways project is focused on creating standardized treatment protocols for the management of medical conditions by applying evidence-based medical approaches to patient care. With the use of critical pathways, a health care provider can rapidly determine the treatment goals of a specific medical condition and institute appropriate actions in a chronological sequence with optimal efficiency. This project is intended for interns, residents, attending physicians, hospitalists, specialists, nurses, nurse practitioners, and physician assistants to contribute their knowledge and clinical experience. This project aims at improving the quality of making diagnoses and treating medical conditions, reducing the variability in treatment, and to improve the overall quality of patient care. WikiDoc welcomes your involvement in contributing to this project. |
|
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|
| ==Action Items== | | ==How Can You Help WikiDoc Meet These Needs?== |
| | Your participation as an Assistant Editor-in-Chief in this project is very important to us at WikiDoc. You are welcome to apply if you are an intern, resident, attending physician, specialist, nurse or a nurse practitioner. It is required of you to have a strong grasp of medical knowledge, and preferably, a prior residency training and experience in order to apply. |
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| ==References== | | ==References== |
| {{Reflist|2}} | | {{Reflist|2}} |
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| [[Category:Critical pathways]]
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| [[Category:Disease]]
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| [[Category:Emergency medicine]]
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| [[Category:Medicine]]
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| [[Category:Primary care]]
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| [[Category:Signs and symptoms]]
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|
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| {{WikiDoc Help Menu}}
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| {{WikiDoc Sources}}
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| </pre>
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| </div></div>
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|
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| *How to create a page on WikiDoc: [[Help:Create a New Page|Click here]]
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| *How to add a reference: [[Help:Adding References to Articles|Click here]]
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| [[Category:Projects]] | | [[Category:Projects]] |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayokunle Olubaniyi, M.B,B.S [2]
Overview
Critical pathways are multidisciplinary management tools based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced. The use of critical pathways in hospitals have been proven to improve the quality of care to patients, reduce the cost of care and reduce the length of hospital stay.[1] WikiDoc is proud to engage in such a project.
Statement of Need
Health care has undergone rapid changes over the years. The world of medicine is rapidly evolving and there is the need of a tool to improve the quality of health care administered to patients with the aim of reducing the cost of health care, standardizing health care processes, reducing the occurrence of medical errors and optimizing the treatment outcomes both in the acute and home care settings.
How Can WikiDoc Meet These Needs?
The WikiDoc team has come up with the 'critical pathways project' intended to solve these problems. The critical pathways project is focused on creating standardized treatment protocols for the management of medical conditions by applying evidence-based medical approaches to patient care. With the use of critical pathways, a health care provider can rapidly determine the treatment goals of a specific medical condition and institute appropriate actions in a chronological sequence with optimal efficiency. This project is intended for interns, residents, attending physicians, hospitalists, specialists, nurses, nurse practitioners, and physician assistants to contribute their knowledge and clinical experience. This project aims at improving the quality of making diagnoses and treating medical conditions, reducing the variability in treatment, and to improve the overall quality of patient care. WikiDoc welcomes your involvement in contributing to this project.
How Can You Help WikiDoc Meet These Needs?
Your participation as an Assistant Editor-in-Chief in this project is very important to us at WikiDoc. You are welcome to apply if you are an intern, resident, attending physician, specialist, nurse or a nurse practitioner. It is required of you to have a strong grasp of medical knowledge, and preferably, a prior residency training and experience in order to apply.
References
- ↑ Renholm, M.; Leino-Kilpi, H.; Suominen, T. (2002). "Critical pathways. A systematic review". J Nurs Adm. 32 (4): 196–202. PMID 11984255.
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