Management of the hospitalized patient with Parkinson’s disease: Current state of the field and need for guidelines✩
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Auteurs : Michael J. Aminoff [États-Unis] ; Chad W. Christine [États-Unis] ; Joseph H. Friedman [États-Unis] ; Kelvin L. Chou [États-Unis] ; Kelly E. Lyons [États-Unis] ; Rajesh Pahwa [États-Unis] ; Bastian R. Bloem [Pays-Bas] ; Sotirios A. Parashos [États-Unis] ; Catherine C. Price [États-Unis] ; Irene A. Malaty [États-Unis] ; Robert Iansek [Australie] ; Ivan Bodis-Wollner [États-Unis] ; Oksana Suchowersky [Canada] ; Wolfgang H. Oertel [Allemagne] ; Jorge Zamudio [États-Unis] ; Joyce Oberdorf [États-Unis] ; Peter Schmidt [États-Unis] ; Michael S. Okun [États-Unis]Source :
- Parkinsonism & related disorders [ 1353-8020 ] ; 2010.
Abstract
To review the literature and to identify practice gaps in the management of the hospitalized Parkinson’s disease (PD) patient.
Patients with PD are admitted to hospitals at higher rates, and frequently have longer hospital stays than the general population. Little is known about outpatient interventions that might reduce the need for hospitalization and also reduce hospital-related complications.
A literature review was performed on PubMed about hospitalization and PD between 1970 and 2010. In addition,
Motor disturbances in PD are believed to be a causal factor in the higher rates of admissions and complications. However, other conditions are commonly recorded as the primary reason for hospitalization including motor complications, reduced mobility, lack of compliance, inappropriate use of neuroleptics, falls, fractures, pneumonia, and other important medical problems. There are many relevant issues related to hospitalization in PD. Medications, dosages and specific dosage schedules are critical. Staff training regarding medications and medication management may help to avoid complications, particularly those related to reduced mobility, and aspiration pneumonia. Treatment of infections and a return to early mobility is also critical to management.
Educational programs, recommendations, and guidelines are needed to better train interdisciplinary teams in the management of the PD patient. These initiatives have the potential for both cost savings and improved outcomes from a preventative and a hospital management standpoint.
Url:
DOI: 10.1016/j.parkreldis.2010.11.009
PubMed: 21159538
PubMed Central: 3070297
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Management of the hospitalized patient with Parkinson’s disease: Current state of the field and need for guidelines<xref ref-type="author-notes" rid="FN1">✩</xref></title><author><name sortKey="Aminoff, Michael J" sort="Aminoff, Michael J" uniqKey="Aminoff M" first="Michael J." last="Aminoff">Michael J. Aminoff</name><affiliation wicri:level="1"><nlm:aff id="A1">National Parkinson Foundation Center of Excellence, University of California San Francisco, Neurology Department, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, University of California San Francisco, Neurology Department</wicri:regionArea><wicri:noRegion>Neurology Department</wicri:noRegion></affiliation></author><author><name sortKey="Christine, Chad W" sort="Christine, Chad W" uniqKey="Christine C" first="Chad W." last="Christine">Chad W. Christine</name><affiliation wicri:level="1"><nlm:aff id="A1">National Parkinson Foundation Center of Excellence, University of California San Francisco, Neurology Department, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, University of California San Francisco, Neurology Department</wicri:regionArea><wicri:noRegion>Neurology Department</wicri:noRegion></affiliation></author><author><name sortKey="Friedman, Joseph H" sort="Friedman, Joseph H" uniqKey="Friedman J" first="Joseph H." last="Friedman">Joseph H. Friedman</name><affiliation wicri:level="1"><nlm:aff id="A2">Alpert Medical School Brown University, Butler Hospital, Department of Neurology, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Alpert Medical School Brown University, Butler Hospital, Department of Neurology</wicri:regionArea><wicri:noRegion>Department of Neurology</wicri:noRegion></affiliation></author><author><name sortKey="Chou, Kelvin L" sort="Chou, Kelvin L" uniqKey="Chou K" first="Kelvin L." last="Chou">Kelvin L. Chou</name><affiliation wicri:level="1"><nlm:aff id="A3">University of Michigan, Departments of Neurology and Neurosurgery, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Michigan, Departments of Neurology and Neurosurgery</wicri:regionArea><wicri:noRegion>Departments of Neurology and Neurosurgery</wicri:noRegion></affiliation></author><author><name sortKey="Lyons, Kelly E" sort="Lyons, Kelly E" uniqKey="Lyons K" first="Kelly E." last="Lyons">Kelly E. Lyons</name><affiliation wicri:level="1"><nlm:aff id="A4">National Parkinson Foundation Center of Excellence, University of Kansas Medical Center, Parkinson’s Disease and Movement Disorder Center, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, University of Kansas Medical Center, Parkinson’s Disease and Movement Disorder Center</wicri:regionArea><wicri:noRegion>Parkinson’s Disease and Movement Disorder Center</wicri:noRegion></affiliation></author><author><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name><affiliation wicri:level="1"><nlm:aff id="A4">National Parkinson Foundation Center of Excellence, University of Kansas Medical Center, Parkinson’s Disease and Movement Disorder Center, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, University of Kansas Medical Center, Parkinson’s Disease and Movement Disorder Center</wicri:regionArea><wicri:noRegion>Parkinson’s Disease and Movement Disorder Center</wicri:noRegion></affiliation></author><author><name sortKey="Bloem, Bastian R" sort="Bloem, Bastian R" uniqKey="Bloem B" first="Bastian R." last="Bloem">Bastian R. Bloem</name><affiliation wicri:level="1"><nlm:aff id="A5">National Parkinson Foundation Center of Excellence, Radboud University, Nijmegen Medical Center, Department of Neurology, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, Radboud University, Nijmegen Medical Center, Department of Neurology</wicri:regionArea><wicri:noRegion>Department of Neurology</wicri:noRegion></affiliation></author><author><name sortKey="Parashos, Sotirios A" sort="Parashos, Sotirios A" uniqKey="Parashos S" first="Sotirios A." last="Parashos">Sotirios A. Parashos</name><affiliation wicri:level="1"><nlm:aff id="A6">National Parkinson Foundation Center of Excellence, Struthers Parkinson’s Center, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, Struthers Parkinson’s Center</wicri:regionArea><wicri:noRegion>Struthers Parkinson’s Center</wicri:noRegion></affiliation></author><author><name sortKey="Price, Catherine C" sort="Price, Catherine C" uniqKey="Price C" first="Catherine C." last="Price">Catherine C. Price</name><affiliation wicri:level="1"><nlm:aff id="A7">University of Florida Movement Disorders Center, National Parkinson Foundation Center of Excellence, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Florida Movement Disorders Center, National Parkinson Foundation Center of Excellence</wicri:regionArea><wicri:noRegion>National Parkinson Foundation Center of Excellence</wicri:noRegion></affiliation></author><author><name sortKey="Malaty, Irene A" sort="Malaty, Irene A" uniqKey="Malaty I" first="Irene A." last="Malaty">Irene A. 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Okun</name><affiliation wicri:level="1"><nlm:aff id="A7">University of Florida Movement Disorders Center, National Parkinson Foundation Center of Excellence, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Florida Movement Disorders Center, National Parkinson Foundation Center of Excellence</wicri:regionArea><wicri:noRegion>National Parkinson Foundation Center of Excellence</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21159538</idno><idno type="pmc">3070297</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070297</idno><idno type="RBID">PMC:3070297</idno><idno type="doi">10.1016/j.parkreldis.2010.11.009</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">000483</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000483</idno><idno type="wicri:Area/Pmc/Curation">000483</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000483</idno><idno type="wicri:Area/Pmc/Checkpoint">000A33</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000A33</idno><idno type="wicri:Area/Ncbi/Merge">000D95</idno><idno type="wicri:Area/Ncbi/Curation">000D95</idno><idno type="wicri:Area/Ncbi/Checkpoint">000D95</idno><idno type="wicri:doubleKey">1353-8020:2010:Aminoff M:management:of:the</idno><idno type="wicri:Area/Main/Merge">001B26</idno><idno type="wicri:Area/Main/Curation">001A19</idno><idno type="wicri:Area/Main/Exploration">001A19</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Management of the hospitalized patient with Parkinson’s disease: Current state of the field and need for guidelines<xref ref-type="author-notes" rid="FN1">✩</xref></title><author><name sortKey="Aminoff, Michael J" sort="Aminoff, Michael J" uniqKey="Aminoff M" first="Michael J." last="Aminoff">Michael J. Aminoff</name><affiliation wicri:level="1"><nlm:aff id="A1">National Parkinson Foundation Center of Excellence, University of California San Francisco, Neurology Department, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, University of California San Francisco, Neurology Department</wicri:regionArea><wicri:noRegion>Neurology Department</wicri:noRegion></affiliation></author><author><name sortKey="Christine, Chad W" sort="Christine, Chad W" uniqKey="Christine C" first="Chad W." last="Christine">Chad W. Christine</name><affiliation wicri:level="1"><nlm:aff id="A1">National Parkinson Foundation Center of Excellence, University of California San Francisco, Neurology Department, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, University of California San Francisco, Neurology Department</wicri:regionArea><wicri:noRegion>Neurology Department</wicri:noRegion></affiliation></author><author><name sortKey="Friedman, Joseph H" sort="Friedman, Joseph H" uniqKey="Friedman J" first="Joseph H." last="Friedman">Joseph H. Friedman</name><affiliation wicri:level="1"><nlm:aff id="A2">Alpert Medical School Brown University, Butler Hospital, Department of Neurology, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Alpert Medical School Brown University, Butler Hospital, Department of Neurology</wicri:regionArea><wicri:noRegion>Department of Neurology</wicri:noRegion></affiliation></author><author><name sortKey="Chou, Kelvin L" sort="Chou, Kelvin L" uniqKey="Chou K" first="Kelvin L." last="Chou">Kelvin L. Chou</name><affiliation wicri:level="1"><nlm:aff id="A3">University of Michigan, Departments of Neurology and Neurosurgery, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Michigan, Departments of Neurology and Neurosurgery</wicri:regionArea><wicri:noRegion>Departments of Neurology and Neurosurgery</wicri:noRegion></affiliation></author><author><name sortKey="Lyons, Kelly E" sort="Lyons, Kelly E" uniqKey="Lyons K" first="Kelly E." last="Lyons">Kelly E. Lyons</name><affiliation wicri:level="1"><nlm:aff id="A4">National Parkinson Foundation Center of Excellence, University of Kansas Medical Center, Parkinson’s Disease and Movement Disorder Center, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, University of Kansas Medical Center, Parkinson’s Disease and Movement Disorder Center</wicri:regionArea><wicri:noRegion>Parkinson’s Disease and Movement Disorder Center</wicri:noRegion></affiliation></author><author><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name><affiliation wicri:level="1"><nlm:aff id="A4">National Parkinson Foundation Center of Excellence, University of Kansas Medical Center, Parkinson’s Disease and Movement Disorder Center, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, University of Kansas Medical Center, Parkinson’s Disease and Movement Disorder Center</wicri:regionArea><wicri:noRegion>Parkinson’s Disease and Movement Disorder Center</wicri:noRegion></affiliation></author><author><name sortKey="Bloem, Bastian R" sort="Bloem, Bastian R" uniqKey="Bloem B" first="Bastian R." last="Bloem">Bastian R. Bloem</name><affiliation wicri:level="1"><nlm:aff id="A5">National Parkinson Foundation Center of Excellence, Radboud University, Nijmegen Medical Center, Department of Neurology, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, Radboud University, Nijmegen Medical Center, Department of Neurology</wicri:regionArea><wicri:noRegion>Department of Neurology</wicri:noRegion></affiliation></author><author><name sortKey="Parashos, Sotirios A" sort="Parashos, Sotirios A" uniqKey="Parashos S" first="Sotirios A." last="Parashos">Sotirios A. Parashos</name><affiliation wicri:level="1"><nlm:aff id="A6">National Parkinson Foundation Center of Excellence, Struthers Parkinson’s Center, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, Struthers Parkinson’s Center</wicri:regionArea><wicri:noRegion>Struthers Parkinson’s Center</wicri:noRegion></affiliation></author><author><name sortKey="Price, Catherine C" sort="Price, Catherine C" uniqKey="Price C" first="Catherine C." last="Price">Catherine C. Price</name><affiliation wicri:level="1"><nlm:aff id="A7">University of Florida Movement Disorders Center, National Parkinson Foundation Center of Excellence, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Florida Movement Disorders Center, National Parkinson Foundation Center of Excellence</wicri:regionArea><wicri:noRegion>National Parkinson Foundation Center of Excellence</wicri:noRegion></affiliation></author><author><name sortKey="Malaty, Irene A" sort="Malaty, Irene A" uniqKey="Malaty I" first="Irene A." last="Malaty">Irene A. Malaty</name><affiliation wicri:level="1"><nlm:aff id="A7">University of Florida Movement Disorders Center, National Parkinson Foundation Center of Excellence, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Florida Movement Disorders Center, National Parkinson Foundation Center of Excellence</wicri:regionArea><wicri:noRegion>National Parkinson Foundation Center of Excellence</wicri:noRegion></affiliation></author><author><name sortKey="Iansek, Robert" sort="Iansek, Robert" uniqKey="Iansek R" first="Robert" last="Iansek">Robert Iansek</name><affiliation wicri:level="1"><nlm:aff id="A8">National Parkinson Foundation Center of Excellence, Clinical Research Center for Movement Disorders and Gait, Southern Health, Melbourne, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, Clinical Research Center for Movement Disorders and Gait, Southern Health, Melbourne</wicri:regionArea><wicri:noRegion>Melbourne</wicri:noRegion></affiliation></author><author><name sortKey="Bodis Wollner, Ivan" sort="Bodis Wollner, Ivan" uniqKey="Bodis Wollner I" first="Ivan" last="Bodis-Wollner">Ivan Bodis-Wollner</name><affiliation wicri:level="1"><nlm:aff id="A9">National Parkinson Foundation Center of Excellence, Parkinson’s Disease and Related Disorders Clinic, Downstate Medical Center, State University of New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, Parkinson’s Disease and Related Disorders Clinic, Downstate Medical Center, State University of New York</wicri:regionArea><wicri:noRegion>State University of New York</wicri:noRegion></affiliation></author><author><name sortKey="Suchowersky, Oksana" sort="Suchowersky, Oksana" uniqKey="Suchowersky O" first="Oksana" last="Suchowersky">Oksana Suchowersky</name><affiliation wicri:level="4"><nlm:aff id="A10">National Parkinson Foundation Center of Excellence, Movement Disorders Program, Department of Clinical Neurosciences, University of Calgary, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, Movement Disorders Program, Department of Clinical Neurosciences, University of Calgary</wicri:regionArea><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName><orgName type="university">Université de Calgary</orgName></affiliation></author><author><name sortKey="Oertel, Wolfgang H" sort="Oertel, Wolfgang H" uniqKey="Oertel W" first="Wolfgang H." last="Oertel">Wolfgang H. Oertel</name><affiliation wicri:level="1"><nlm:aff id="A11">National Parkinson Foundation Center of Excellence, Department of Neurology, Philipps University, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>National Parkinson Foundation Center of Excellence, Department of Neurology, Philipps University</wicri:regionArea><wicri:noRegion>Philipps University</wicri:noRegion><wicri:noRegion>Philipps University</wicri:noRegion><wicri:noRegion>Philipps University</wicri:noRegion></affiliation></author><author><name sortKey="Zamudio, Jorge" sort="Zamudio, Jorge" uniqKey="Zamudio J" first="Jorge" last="Zamudio">Jorge Zamudio</name><affiliation wicri:level="1"><nlm:aff id="A12">National Parkinson Foundation, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation</wicri:regionArea></affiliation></author><author><name sortKey="Oberdorf, Joyce" sort="Oberdorf, Joyce" uniqKey="Oberdorf J" first="Joyce" last="Oberdorf">Joyce Oberdorf</name><affiliation wicri:level="1"><nlm:aff id="A12">National Parkinson Foundation, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation</wicri:regionArea></affiliation></author><author><name sortKey="Schmidt, Peter" sort="Schmidt, Peter" uniqKey="Schmidt P" first="Peter" last="Schmidt">Peter Schmidt</name><affiliation wicri:level="1"><nlm:aff id="A12">National Parkinson Foundation, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>National Parkinson Foundation</wicri:regionArea></affiliation></author><author><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S." last="Okun">Michael S. Okun</name><affiliation wicri:level="1"><nlm:aff id="A7">University of Florida Movement Disorders Center, National Parkinson Foundation Center of Excellence, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Florida Movement Disorders Center, National Parkinson Foundation Center of Excellence</wicri:regionArea><wicri:noRegion>National Parkinson Foundation Center of Excellence</wicri:noRegion></affiliation></author></analytic><series><title level="j">Parkinsonism & related disorders</title><idno type="ISSN">1353-8020</idno><idno type="eISSN">1873-5126</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P2">To review the literature and to identify practice gaps in the management of the hospitalized Parkinson’s disease (PD) patient.</p></sec><sec id="S2"><title>Background</title><p id="P3">Patients with PD are admitted to hospitals at higher rates, and frequently have longer hospital stays than the general population. Little is known about outpatient interventions that might reduce the need for hospitalization and also reduce hospital-related complications.</p></sec><sec sec-type="methods" id="S3"><title>Methods</title><p id="P4">A literature review was performed on PubMed about hospitalization and PD between 1970 and 2010. In addition, <italic>in press</italic> peer-reviewed papers or published abstracts known to the authors were included. Information was reviewed by a National Parkinson Foundation workgroup and a narrative review article was generated.</p></sec><sec id="S4"><title>Results</title><p id="P5">Motor disturbances in PD are believed to be a causal factor in the higher rates of admissions and complications. However, other conditions are commonly recorded as the primary reason for hospitalization including motor complications, reduced mobility, lack of compliance, inappropriate use of neuroleptics, falls, fractures, pneumonia, and other important medical problems. There are many relevant issues related to hospitalization in PD. Medications, dosages and specific dosage schedules are critical. Staff training regarding medications and medication management may help to avoid complications, particularly those related to reduced mobility, and aspiration pneumonia. Treatment of infections and a return to early mobility is also critical to management.</p></sec><sec id="S5"><title>Conclusions</title><p id="P6">Educational programs, recommendations, and guidelines are needed to better train interdisciplinary teams in the management of the PD patient. These initiatives have the potential for both cost savings and improved outcomes from a preventative and a hospital management standpoint.</p></sec></div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Canada</li><li>Pays-Bas</li><li>États-Unis</li></country><region><li>Alberta</li></region><settlement><li>Calgary</li></settlement><orgName><li>Université de Calgary</li></orgName></list><tree><country name="États-Unis"><noRegion><name sortKey="Aminoff, Michael J" sort="Aminoff, Michael J" uniqKey="Aminoff M" first="Michael J." last="Aminoff">Michael J. Aminoff</name></noRegion><name sortKey="Bodis Wollner, Ivan" sort="Bodis Wollner, Ivan" uniqKey="Bodis Wollner I" first="Ivan" last="Bodis-Wollner">Ivan Bodis-Wollner</name><name sortKey="Chou, Kelvin L" sort="Chou, Kelvin L" uniqKey="Chou K" first="Kelvin L." last="Chou">Kelvin L. Chou</name><name sortKey="Christine, Chad W" sort="Christine, Chad W" uniqKey="Christine C" first="Chad W." last="Christine">Chad W. Christine</name><name sortKey="Friedman, Joseph H" sort="Friedman, Joseph H" uniqKey="Friedman J" first="Joseph H." last="Friedman">Joseph H. Friedman</name><name sortKey="Lyons, Kelly E" sort="Lyons, Kelly E" uniqKey="Lyons K" first="Kelly E." last="Lyons">Kelly E. Lyons</name><name sortKey="Malaty, Irene A" sort="Malaty, Irene A" uniqKey="Malaty I" first="Irene A." last="Malaty">Irene A. Malaty</name><name sortKey="Oberdorf, Joyce" sort="Oberdorf, Joyce" uniqKey="Oberdorf J" first="Joyce" last="Oberdorf">Joyce Oberdorf</name><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S." last="Okun">Michael S. Okun</name><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name><name sortKey="Parashos, Sotirios A" sort="Parashos, Sotirios A" uniqKey="Parashos S" first="Sotirios A." last="Parashos">Sotirios A. Parashos</name><name sortKey="Price, Catherine C" sort="Price, Catherine C" uniqKey="Price C" first="Catherine C." last="Price">Catherine C. Price</name><name sortKey="Schmidt, Peter" sort="Schmidt, Peter" uniqKey="Schmidt P" first="Peter" last="Schmidt">Peter Schmidt</name><name sortKey="Zamudio, Jorge" sort="Zamudio, Jorge" uniqKey="Zamudio J" first="Jorge" last="Zamudio">Jorge Zamudio</name></country><country name="Pays-Bas"><noRegion><name sortKey="Bloem, Bastian R" sort="Bloem, Bastian R" uniqKey="Bloem B" first="Bastian R." last="Bloem">Bastian R. Bloem</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Iansek, Robert" sort="Iansek, Robert" uniqKey="Iansek R" first="Robert" last="Iansek">Robert Iansek</name></noRegion></country><country name="Canada"><region name="Alberta"><name sortKey="Suchowersky, Oksana" sort="Suchowersky, Oksana" uniqKey="Suchowersky O" first="Oksana" last="Suchowersky">Oksana Suchowersky</name></region></country><country name="Allemagne"><noRegion><name sortKey="Oertel, Wolfgang H" sort="Oertel, Wolfgang H" uniqKey="Oertel W" first="Wolfgang H." last="Oertel">Wolfgang H. Oertel</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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