Ilene Anne Claudius

Title(s)Hs Clinical Professor, Emergency Medicine
SchoolMedicine
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    1. Sudden-Onset Disaster Mass-Casualty Incident Response: A Modified Delphi Study on Triage, Prehospital Life Support, and Processes. Prehosp Disaster Med. 2023 Oct; 38(5):570-580. Cuthbertson J, Weinstein E, Franc JM, Jones P, Lamine H, Magalini S, Gui D, Lennquist K, Marzi F, Borrello A, Fransvea P, Fidanzio A, Benítez CY, Achaz G, Dobson B, Malik N, Neeki M, Pirrallo R, Castro Delgado R, Strapazzon G, Farah Dell'Aringa M, Brugger H, Rafalowsky C, Marzoli M, Fresu G, Kolstadbraaten KM, Lennquist S, Tilsed J, Claudius I, Cheeranont P, Callcut R, Bala M, Kerbage A, Vale L, Hecker NP, Faccincani R, Ragazzoni L, Caviglia M. PMID: 37675480; PMCID: PMC10548019.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    2. The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies. Ann Emerg Med. 2023 09; 82(3):e97-e105. Saidinejad M, Duffy S, Wallin D, Hoffmann JA, Joseph M, Schieferle Uhlenbrock J, Brown K, Waseem M, Snow SK, Andrew M, Kuo AA, Sulton C, Chun T, Lee LK, AMERICAN ACADEMY OF PEDIATRICS, Committee on Pediatric Emergency Medicine, Conners GP, Callahan J, Gross T, Joseph M, Lee L, Mack E, Marin J, Mazor S, Paul R, Timm N, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS, Pediatric Emergency Medicine Committee, Dietrich AM, Alade KH, Amato CS, Atanelov Z, Auerbach M, Barata IA, Benjamin LS, Berg KT, Brown K, Chang C, Chow J, Chumpitazi CE, Claudius IA, Easter J, Foster A, Fox SM, Gausche-Hill M, Gerardi MJ, Goodloe JM, Heniff M, Homme JJL, Ishimine PT, John SD, Joseph MM, Lam SH, Lawson SL, Lee MO, Li J, Lin SD, Martini DI, Mellick LB, Mendez D, Petrack EM, Rice L, Rose EA, Ruttan T, Saidinejad M, Santillanes G, Simpson JN, Sivasankar SM, Slubowski D, Sorrentino A, Stoner MJ, Sulton CD, Valente JH, Vora S, Wall JJ, Wallin D, Walls TA, Waseem M, Woolridge DP, EMERGENCY NURSES ASSOCIATION, Pediatric Committee, Brandt C, Kult KM, Milici JJ, Nelson NA, Redlo MA, Curtis Cooper MR, Redlo M, Kult K, Logee K, Bryant DE, Cooper MC, Cline K, POLICY STATEMENT, Organizational Principles to Guide and Define the Child Health Care System and/or Improve the Health, This article is being jointly published in Pediatrics, Annals of Emergency Medicine, and Journal of . PMID: 37596031.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansPHPublic Health
    3. Inter-Rater Reliability and Agreement Among Mass-Casualty Incident Algorithms Using a Pediatric Trauma Dataset: A Pilot Study. Prehosp Disaster Med. 2022 Jun; 37(3):306-313. Fisher EH, Claudius I, Kaji AH, Shaban A, McGlynn N, Cicero MX, Santillanes G, Gausche-Hill M, Chang TP, Donofrio-Odmann JJ. PMID: 35441588.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    4. Comparison of Outcome Tools Used to Test Mass-Casualty Algorithms in the Pediatric Population. Prehosp Disaster Med. 2021 Dec; 36(6):719-723. Donofrio JJ, Shaban A, Kaji AH, Santillanes G, Cicero MX, Chang TP, Gausche-Hill M, Claudius IA. PMID: 34610852.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. Occult Pneumothorax Identification on Extended Focused Assessment with Sonography for Trauma Examination in Children. Pediatr Emerg Care. 2021 Oct 01; 37(10):e599-e601. Malek D, Santillanes G, Hsiao V, Mailhot T, Claudius I. PMID: 33273430.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    6. Pearls of Pediatric Emergency Medicine. Emerg Med Clin North Am. 2021 08; 39(3):xv-xvi. Lu LM, Claudius I, Amato CS. PMID: 34215411.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    7. ACEP SimBox: A Pediatric Simulation-Based Training Innovation. Ann Emerg Med. 2021 09; 78(3):346-354. Vora S, Li J, Kou M, Ng V, Price A, Claudius I, Kant S, Sanseau E, Madhok M, Auerbach M. PMID: 34154842.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    8. Decline in Pediatric Emergency Department Behavioral Team Activations After Institution of an Agitation Protocol. Pediatr Emerg Care. 2021 Apr 01; 37(4):e170-e173. Pavlov H, Santillanes G, Claudius I. PMID: 33780411.
      View in: PubMed   Mentions:    Fields:    Translation:HumansPHPublic Health
    9. Association Between Race/Ethnicity and Disparities in Health Care Use Before First-Episode Psychosis Among Privately Insured Young Patients. JAMA Psychiatry. 2021 03 01; 78(3):311-319. Heun-Johnson H, Menchine M, Axeen S, Lung K, Claudius I, Wright T, Seabury SA. PMID: 33355626; PMCID: PMC7758828.
      View in: PubMed   Mentions: 23     Fields:    Translation:Humans
    10. Differences in Comorbidities Between Children and Youth With Suicide Attempts Versus Ideation Presenting to the Emergency Department. Arch Suicide Res. 2022 Jan-Mar; 26(1):280-289. Claudius I, Axeen S. PMID: 32758078.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    11. Prevalence of marijuana use among trauma patients before and after legalization of medical marijuana: The Arizona experience. Subst Abus. 2021; 42(3):366-371. Levine M, Jontz A, Dabrowski P, Claudius IA, Kreisler R, Yee N, LoVecchio F. PMID: 32693706.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    12. Tabletop Application of SALT Triage to 10, 100, and 1000 Pediatric Victims. Prehosp Disaster Med. 2020 Apr; 35(2):165-169. McGlynn N, Claudius I, Kaji AH, Fisher EH, Shaban A, Cicero MX, Santillanes G, Gausche-Hill M, Chang TP, Donofrio-Odmann JJ. PMID: 32054549.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    13. Marijuana self-report compared with testing in trauma patients before and after legalization. Clin Toxicol (Phila). 2020 Aug; 58(8):801-803. Claudius IA, Jontz A, Levine M, LoVecchio F, Dabrowski P, Kreisler R. PMID: 31760815.
      View in: PubMed   Mentions: 5     Fields:    
    14. Discontinuing involuntary mental health holds for children: Does psychiatrist specialty matter? A pilot study. Am J Emerg Med. 2020 04; 38(4):702-708. Santillanes G, Rowland K, Demarest M, Lam CN, Wilson MP, Claudius I, Menchine M. PMID: 31204151.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    15. Association between maternal serious mental illness and adverse birth outcomes. J Perinatol. 2019 05; 39(5):737-745. Heun-Johnson H, Seabury SA, Menchine M, Claudius I, Axeen S, Lakshmanan A. PMID: 30850757; PMCID: PMC6503973.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    16. Review of Interventions and Radiation Exposure from Chest Computed Tomography in Children with Blunt Trauma. J Pediatr. 2018 07; 198:220-225. Hsiao V, Santillanes G, Malek D, Claudius I. PMID: 29705114.
      View in: PubMed   Mentions:    Fields:    Translation:HumansPHPublic Health
    17. Risk Stratifying Febrile Infants: A Moving Target. Ann Emerg Med. 2018 02; 71(2):217-219. Rouhani A, Claudius I, Behar S, Mason J, Grock A. PMID: 29447862.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    18. The Utility of Cranial Ultrasound for Detection of Intracranial Hemorrhage in Infants. Pediatr Emerg Care. 2018 Feb; 34(2):96-101. Elkhunovich M, Sirody J, McCormick T, Goodarzian F, Claudius I. PMID: 26999586.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    19. Flipping the Classroom in Medical Student Education: Does Priming Work? West J Emerg Med. 2018 Jan; 19(1):93-100. Rose E, Jhun P, Baluzy M, Hauck A, Huang J, Wagner J, Kearl YL, Behar S, Claudius I. PMID: 29383062; PMCID: PMC5785208.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    20. Reasons for Energy Drink Use and Reported Adverse Effects Among Adolescent Emergency Department Patients. Pediatr Emerg Care. 2017 Dec; 33(12):770-773. Nordt SP, Claudius I, Rangan C, Armijo E, Milano P, Yanger S, Tomaszsewski C. PMID: 27248776.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    21. Case-controlled Analysis of Patient-based Risk Factors for Assault in the Healthcare Workplace. West J Emerg Med. 2017 Oct; 18(6):1153-1158. Claudius IA, Desai S, Davis E, Henderson S. PMID: 29085550; PMCID: PMC5654887.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    22. Involuntary Psychiatric Holds in Preadolescent Children. West J Emerg Med. 2017 Oct; 18(6):1159-1165. Santillanes G, Kearl YL, Lam CN, Claudius IA. PMID: 29085551; PMCID: PMC5654888.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    23. Use of a Novel, Portable, LED-Based Capillary Refill Time Simulator within a Disaster Triage Context. Prehosp Disaster Med. 2017 Aug; 32(4):451-456. Chang TP, Santillanes G, Claudius I, Pham PK, Koved J, Cheyne J, Gausche-Hill M, Kaji AH, Srinivasan S, Donofrio JJ, Bir C. PMID: 28345508.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    24. Point-of-Care Ultrasound for the Detection of Traumatic Intracranial Hemorrhage in Infants: A Pilot Study. Pediatr Emerg Care. 2017 Jan; 33(1):18-20. McCormick T, Chilstrom M, Childs J, McGarry R, Seif D, Mailhot T, Perera P, Kang T, Claudius I. PMID: 26308609.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    25. Can Fam Physician. 2017 Jan; 63(1):e15-e17. Arane K, Claudius I, Goldman RD. PMID: 28115453; PMCID: PMC5257232.
      View in: PubMed   Mentions:    Fields:    
    26. Brief resolved unexplained event: New diagnosis in infants. Can Fam Physician. 2017 Jan; 63(1):39-41. Arane K, Claudius I, Goldman RD. PMID: 28115439; PMCID: PMC5257218.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    27. Update on the Evaluation and Management of Brief Resolved Unexplained Events (Previously Apparent Life-Threatening Events). Rev Recent Clin Trials. 2017; 12(4):233-239. Zwemer E, Claudius I, Tieder J. PMID: 28814262.
      View in: PubMed   Mentions:    Fields:    Translation:HumansPHPublic Health
    28. The Flipped Classroom in Emergency Medicine Using Online Videos with Interpolated Questions. J Emerg Med. 2016 Sep; 51(3):284-291.e1. Rose E, Claudius I, Tabatabai R, Kearl L, Behar S, Jhun P. PMID: 27381954.
      View in: PubMed   Mentions: 26     Fields:    Translation:Humans
    29. Ultrasound characteristics of bruises and their correlation to cutaneous appearance. Forensic Sci Int. 2016 Sep; 266:160-163. Helm T, Bir C, Chilstrom M, Claudius I. PMID: 27281053.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    30. Development of a Pediatric Mass Casualty Triage Algorithm Validation Tool. Prehosp Emerg Care. 2016 May-Jun; 20(3):343-53. Donofrio JJ, Kaji AH, Claudius IA, Chang TP, Santillanes G, Cicero MX, Srinivasan S, Perez-Rogers A, Gausche-Hill M. PMID: 26808000.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    31. Does Right Lower Quadrant Abdominal Ultrasound Accurately Identify Perforation in Pediatric Acute Appendicitis? J Emerg Med. 2016 Apr; 50(4):638-42. Tseng P, Berdahl C, Kearl YL, Behar S, Cooper J, Dollbaum R, Hardasmalani M, Hardiman K, Rose E, Santillanes G, Lam C, Claudius I. PMID: 26810020.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    32. Accuracy of Magnetic Resonance Imaging and Ultrasound for Appendicitis in Diagnostic and Nondiagnostic Studies. Acad Emerg Med. 2016 Feb; 23(2):179-85. Kearl YL, Claudius I, Behar S, Cooper J, Dollbaum R, Hardasmalani M, Hardiman K, Rose E, Santillanes G, Berdahl C. PMID: 26765503.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    33. Accuracy, Efficiency, and Inappropriate Actions Using JumpSTART Triage in MCI Simulations. Prehosp Disaster Med. 2015 Oct; 30(5):457-60. Claudius I, Kaji AH, Santillanes G, Cicero MX, Donofrio JJ, Gausche-Hill M, Srinivasan S, Chang TP. PMID: 26323610.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    34. Comparison of Computerized Patients versus Live Moulaged Actors for a Mass-casualty Drill. Prehosp Disaster Med. 2015 Oct; 30(5):438-42. Claudius I, Kaji A, Santillanes G, Cicero M, Donofrio JJ, Gausche-Hill M, Srinivasan S, Chang TP. PMID: 26265451.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    35. Does Combined Use of the J-tip® and Buzzy® Device Decrease the Pain of Venipuncture in a Pediatric Population? J Pediatr Nurs. 2015 Nov-Dec; 30(6):829-33. Kearl YL, Yanger S, Montero S, Morelos-Howard E, Claudius I. PMID: 26228308.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    36. Most routine laboratory testing of pediatric psychiatric patients in the emergency department is not medically necessary. Health Aff (Millwood). 2015 May; 34(5):812-8. Donofrio JJ, Horeczko T, Kaji A, Santillanes G, Claudius I. PMID: 25941283.
      View in: PubMed   Mentions: 4     Fields:    Translation:HumansPHPublic Health
    37. Do emergency pediatric psychiatric visits for danger to self or others correspond to times of school attendance? Am J Emerg Med. 2015 May; 33(5):682-4. Lueck C, Kearl L, Lam CN, Claudius I. PMID: 25797865.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    38. Pediatric critical care. Emerg Med Clin North Am. 2014 Nov; 32(4):939-54. Rose E, Claudius I. PMID: 25441044.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    39. Treating psychiatric emergencies in incarcerated minors in the emergency department: what is the cost and what is their disposition? Pediatr Emerg Care. 2014 Jun; 30(6):403-8. Wood DB, Donofrio JJ, Santillanes G, Lam CN, Claudius I. PMID: 24849276.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    40. Impact of boarding pediatric psychiatric patients on a medical ward. Hosp Pediatr. 2014 May; 4(3):125-32. Claudius I, Donofrio JJ, Lam CN, Santillanes G. PMID: 24785553.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    41. Is medical clearance necessary for pediatric psychiatric patients? J Emerg Med. 2014 Jun; 46(6):800-7. Santillanes G, Donofrio JJ, Lam CN, Claudius I. PMID: 24642041.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    42. Should infants presenting with an apparent life-threatening event undergo evaluation for serious bacterial infections and respiratory pathogens? J Pediatr. 2014 May; 164(5):1231-1233.e1. Claudius I, Mittal MK, Murray R, Condie T, Santillanes G. PMID: 24484770.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    43. Clinical utility of screening laboratory tests in pediatric psychiatric patients presenting to the emergency department for medical clearance. Ann Emerg Med. 2014 Jun; 63(6):666-75.e3. Donofrio JJ, Santillanes G, McCammack BD, Lam CN, Menchine MD, Kaji AH, Claudius IA. PMID: 24219903.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    44. Need for intervention in families presenting to the emergency department with multiple children as patients. West J Emerg Med. 2013 Sep; 14(5):525-8. Lemus J, Chacko M, Claudius I. PMID: 24106553; PMCID: PMC3789919.
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    45. Do infants less than 12 months of age with an apparent life-threatening event need transport to a pediatric critical care center? Prehosp Emerg Care. 2013 Jul-Sep; 17(3):304-11. Kaji AH, Santillanes G, Claudius I, Mittal MK, Hayes K, Lee J, Gausche-Hill M. PMID: 23734987.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    46. Assessing the toxicity and associated costs among pediatric patients admitted with unintentional poisonings of attention-deficit/hyperactivity disorder drugs in the United States. Clin Toxicol (Phila). 2013 Mar; 51(3):147-50. Levine M, Froberg B, Ruha AM, Burns-Ewald M, Yen M, Claudius IA, Arthur AO, Tormoehlen L, Thomas SH. PMID: 23473458.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    47. Management of apparent life-threatening events in infants: a systematic review. J Pediatr. 2013 Jul; 163(1):94-9.e1-6. Tieder JS, Altman RL, Bonkowsky JL, Brand DA, Claudius I, Cunningham DJ, DeWolfe C, Percelay JM, Pitetti RD, Smith MB. PMID: 23415612.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    48. Ethanol ingestion in two infants under 2 months old: a previously unreported cause of ALTE. Pediatrics. 2013 Feb; 131(2):e604-7. McCormick T, Levine M, Knox O, Claudius I. PMID: 23319534.
      View in: PubMed   Mentions: 5     Fields:    Translation:HumansPHPublic Health
    49. Occult psychosocial impairment in a pediatric emergency department population. Pediatr Emerg Care. 2012 Dec; 28(12):1334-7. Claudius I, Mahrer N, Nager AL, Gold JI. PMID: 23187992.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    50. Apparent life-threatening event: multicenter prospective cohort study to develop a clinical decision rule for admission to the hospital. Ann Emerg Med. 2013 Apr; 61(4):379-387.e4. Kaji AH, Claudius I, Santillanes G, Mittal MK, Hayes K, Lee J, Gausche-Hill M. PMID: 23026786.
      View in: PubMed   Mentions: 7     Fields:    Translation:HumansPHPublic Health
    51. Tension gastrothorax in a child presenting with abdominal pain. West J Emerg Med. 2012 Feb; 13(1):117-8. Hooker R, Claudius I, Truong A. PMID: 22461941; PMCID: PMC3298226.
      View in: PubMed   Mentions: 1     Fields:    
    52. Impact of an emergency department pharmacy on medication omission and delay. Pediatr Emerg Care. 2012 Jan; 28(1):30-3. Marconi GP, Claudius I. PMID: 22193698.
      View in: PubMed   Mentions: 8     Fields:    Translation:HumansPHPublic Health
    53. Pediatric emergencies associated with fever. Emerg Med Clin North Am. 2010 Feb; 28(1):67-84, vii-viii. Claudius I, Baraff LJ. PMID: 19945599.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    54. Design and evaluation of a disaster preparedness logistics tool. Am J Disaster Med. 2009 Nov-Dec; 4(6):309-20. Neches R, Ryutov T, Kichkaylo T, Burke RV, Claudius IA, Upperman JS. PMID: 20104724.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    55. Prior treatment of fracture patients in a tertiary pediatric emergency department: informal referrals from other emergency departments. J Pediatr Orthop. 2009 Mar; 29(2):137-41. Wren TA, Chen AY, Wang VJ, Claudius IA, Skaggs DL. PMID: 19352238.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    56. Disaster drill exercise documentation and management: are we drilling to standard? J Emerg Nurs. 2008 Dec; 34(6):504-8. Claudius I, Behar S, Ballow S, Wood R, Stevenson K, Blake N, Upperman JS. PMID: 19022071.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    57. Hospital-based disaster preparedness for pediatric patients: how to design a realistic set of drill victims. Am J Disaster Med. 2008 May-Jun; 3(3):171-80. Ballow S, Behar S, Claudius I, Stevenson K, Neches R, Upperman JS. PMID: 18666514.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    58. Do all infants with apparent life-threatening events need to be admitted? Pediatrics. 2007 Apr; 119(4):679-83. Claudius I, Keens T. PMID: 17403838.
      View in: PubMed   Mentions: 9     Fields:    Translation:HumansPHPublic Health
    59. Poststabilization care for pediatric fractures: a follow-up survey. Pediatr Emerg Care. 2006 Aug; 22(8):562-5. Claudius I, Skaggs D, Nager A. PMID: 16912623.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    60. Decrease in emergency department length of stay as a result of triage pulse oximetry. Pediatr Emerg Care. 2006 Jun; 22(6):412-4. Choi J, Claudius I. PMID: 16801841.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    61. The emergency department approach to newborn and childhood metabolic crisis. Emerg Med Clin North Am. 2005 Aug; 23(3):843-83, x. Claudius I, Fluharty C, Boles R. PMID: 15982549.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    62. The utility of safety counseling in a pediatric emergency department. Pediatrics. 2005 Apr; 115(4):e423-7. Claudius IA, Nager AL. PMID: 15805344.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    63. Usefulness of B-type natriuretic peptide as a noninvasive screening tool for cardiac allograft pathology in pediatric heart transplant recipients. Am J Cardiol. 2003 Dec 01; 92(11):1368-70. Claudius I, Lan YT, Chang RK, Wetzel GT, Alejos J. PMID: 14636927.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    64. Hypophosphatemia-induced heart failure. Am J Emerg Med. 2002 Jul; 20(4):369-70. Claudius I, Sachs C, Shamji T. PMID: 12098189.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    65. Dysuria in adolescents. West J Med. 2000 Mar; 172(3):201-5. Claudius H. PMID: 10734814; PMCID: PMC1070807.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
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